Commissioner Bulletins
- Commissioner´s Bulletin NO. B-0017-04
- Commissioner´s Bulletin NO. B-0042-03 (October 2003)
- Commissioner´s Bulletin NO. B-0041-03 (October 2003)
- Commissioner´s Bulletin NO. B-0023-01 (May 2001)
Rules
- SB 418 Adopted Rules on Batch Rejection, Annual Verification Reporting Date, Underpayment Penalty Calculation, Preauthorization and Verification Availability for Dental and Vision HMOs, and Eligibility Information
- Preferred Provider Plans
- Physician and Provider Contracts and Arrangements
- Utilization Review Agents
- Submission of Clean Claims
- Eligibility Statements
- SB 418 - Submission of Clean Claims Proposed Rules Summary (October 2003)
- Submission of Clean Claims/Waiver of Electronic Filing Requirements (April 2004)
- Submission of Clean Claims/Reporting Requirements for Pharmacy Claims (April 2004)
- Submission of Clean Claims/Identification (ID)Cards
- Submission of Clean Claims/Required Data Elements/Dental
- Submission of Clean Claims/Waiver of Statutory Provisions
- SB 418 - Prompt Payment of Health Care Claims Emergency Rules Summary (August 2003)
- SB 418 - Prompt Payment of Health Care Claims Proposed Rules Summary (June 2003)
- HB 610 - Prompt Payment of Health Care Claims Rules (September 2001)
Education
- "Finding Your Way to Prompt Pay" | pdf
- Self Funded ERISA vs. Fully funded Identification on cards | pdf
- Submission, Timelines and Prompt Pay of Clean Claims (SB 418 and HB 610 comparison) | pdf
- CMS 1500 - Texas Clean Claims Elements
- UB 04 - Texas Clean Claims Elements
- SB 418 FAQs
Enforcement
- April 29, 2002 Restitution/Fines (as of July 2002)
- April 1, 2002 Restitution/Fines (as of June 2002)
- January 2002 Restitution Summary
For more payor information, click on the links below: