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Texas Department of Insurance
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Health Maintenance (HMO) bulletins

2022
Bulletin numberDate issuedReferenceSubject
B-0006-22 August 24, 2022 Insurer duty to act in good faith and to promptly pay settled claims Consumer
2021
Bulletin numberDate issuedReferenceSubject
B-0025-21 August 30, 2021 Utilization review and adverse determination requirements for experimental or investigational health care services Life and Health
B-0014-21 June 1, 2021 Affiliated provider agreements and Form D filing requirements Life and Health
2020
Bulletin numberDate issuedReferenceSubject
B-0034-20 August 4, 2020 Prompt pay requirements Life and Health
B-0032-20 July 7, 2020 Balance billing data reporting Life and Health
B-0031-20 June 25, 2020 Suspension of duplicate network adequacy reviews for CHIP and Medicaid networks Life and Health
B-0025-20 May 11, 2020 Extensions of prior authorizations Life and Health
B-0024-20 April 30, 2020 COVID-19: Delaying 2019 mandated health benefits data reporting Life and Health
B-0018-20 April 8, 2020 Corporate governance annual disclosure filings Financial
B-0017-20 April 1, 2020 Coverage for COVID-19 testing and network adequacy Life and Health
B-0014-20 March 27, 2020 Managed Care Quality Assurance filing requirements Life and Health
B-0015-20 March 27, 2020 COVID-19: Claim-submission deadlines Life and Health
B-0007-20 March 23, 2020 COVID-19: Claim-handling deadlines and premium payments Financial
B-0005-20 March 11, 2020 COVID-19 testing and preparation Life and Health
B-0004-20 March 5, 2020 New prompt pay database Life and Health
2019
Bulletin numberDate issuedReferenceSubject
B-0005-19 July 17, 2019 A portion of prompt pay penalties must be paid to the State of Texas Life and Health
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 7, 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 8, 2016 TEMPORARY STANDARDS APPLICABLE TO EXTERNAL REVIEW PROCESS Financial
2013
Bulletin numberDate issuedReferenceSubject
B-0026-13 October 22, 2013 Mandatory Data Call for Claims Processing Reports Financial
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 9, 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 4, 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 4, 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