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Health Maintenance (HMO) Bulletins

2018
Bulletin NumberDate IssuedReferenceSubject
B-0005-18 March 30, 2018 2017 Mandated Benefits Data Call Relating to Data Collection under Texas Administrative Code, Title 28, §§21.3401 – 21.3409 Life and Health
B-0006-18 March 29, 2018 Call for House Bill 10 Data Collection under Insurance Code Chapter 1355, Subchapter F Life and Health
B-0003-18 March 07, 2018 Health Care Claims Reimbursement Rate Report Data Call Life and Health
B-0001-18 January 10, 2018 TRANSITION TO FEDERAL EXTERNAL REVIEW PROCESS Life and Health
2016
Bulletin NumberDate IssuedReferenceSubject
B-0022-16 September 15, 2016 Reporting of cybersecurity incidents Financial
B-0021-16 September 13, 2016 2016 Mandated Benefits Data Call Relating to Data Collection under Texas Administrative Code, Title 28, §§21.3401 – 21.3409 Life and Health
B-0003-16 March 08, 2016 TEMPORARY STANDARDS APPLICABLE TO EXTERNAL REVIEW PROCESS Financial
2015
Bulletin NumberDate IssuedReferenceSubject
B-0019-15 August 24, 2015 Legislation Enacted – 84th Legislative Regular Session Life and Health
2013
Bulletin NumberDate IssuedReferenceSubject
B-0026-13 October 22, 2013 Mandatory Data Call for Claims Processing Reports Financial
B-0024-13 October 07, 2013 2012 MANDATED BENEFITS DATA CALL RELATING TO DATA COLLECTION UNDER TEXAS ADMINISTRATIVE CODE, TITLE 28, SECTIONS 21.3401 - 21.3409 Life and Health
B-0015-13 July 11, 2013 Mandatory Data Call for Claims Processing Reports Life and Health
B-0009-13 April 01, 2013 Mandatory Data Call for Claims Processing Reports Life and Health
B-0008-13 March 15, 2013 DEPARTMENT APPROACH TO FORM AND RATE REVIEW IN ANTICIPATION OF CHANGES TO FEDERAL LAW THAT GO INTO EFFECT ON JANUARY 1, 2014; GEOGRAPHIC RATING AREAS FOR TEXAS UNDER FEDERAL LAW Life and Health
B-0002-13 January 10, 2013 Mandatory Data Call for Claims Processing Reports DUE: February 15, 2013 - Fourth Quarter (October - December) 2012 Consumer
2008
Bulletin NumberDate IssuedReferenceSubject
B-0001-08 January 09, 2008 2007 Policy Count Exhibit Life and Health
2007
Bulletin NumberDate IssuedReferenceSubject
B-0043-07 October 22, 2007 REDUCTION IN FINGERPRINT PROCESSING FEE. Life Health and Licensing
B-0036-07 September 04, 2007 LEGISLATION ENACTED - 80TH LEGISLATIVE SESSION Life Health and Licensing
B-0030-07 July 17, 2007 MANDATORY USE DATE FOR CMS-1500 (08/05) AND UB-04 CMS-1450 CLAIM FORMS FOR SUBMISSION OF CLEAN HEALTH CARE CLAIMS IS JULY 18, 2007 Life and Health
B-0023-07 May 22, 2007 Consumer notice of toll-free telephone numbers and procedures for obtaining information and filing complaints Consumer
B-0003-07 January 24, 2007 Call for Reports Regarding Provider Claims Processing and Related Functions-DUE: February 15, 2007 - Fourth Quarter 2006 (October - December) Provider Claims Data Consumer
2006
Bulletin NumberDate IssuedReferenceSubject
B-0023-06 June 28, 2006 APPROPRIATE USE REQUIREMENTS FOR A DATA CONDITION IN PROFESSIONAL ASC X12N 837/ USE OF "REFERRING PROVIDER NAME" FIELD Life Health and Licensing
1999
Bulletin NumberDate IssuedReferenceSubject
B-0011-99 February 19, 1999 Balance Billing Enrollees for HMO Covered Services Life and Health
1998
Bulletin NumberDate IssuedReferenceSubject
B-0007-98 February 04, 1998 Prompt Payment of First Party Claims Life and Health

For more specific information on a particular bulletin, please refer to the contact person/division at the end of the bulletin. For copies of bulletins, please contact us at 512-676-6585 or via email at: ChiefClerk@tdi.texas.gov