Tex. Ins. Code Section 1305.251
Examination of Network

gov/GetStatute.aspx?Code=IN&Value=1305.251">1305.251. EXAMINATION OF NETWORK. (a) As often as the commissioner considers necessary, the commissioner or the commissioner’s designated representative may review the operations of a network to determine compliance with this chapter. The review may include on-site visits to the network’s premises.

(b)

During on-site visits, the network must make available to the department all records relating to the network’s operations.

(c)

A network shall pay a fee to the department, in an amount set by the commissioner and in accordance with rules adopted by the commissioner, for the expenses of an examination conducted under this section or Section 1305.252 (Examination of Provider or Third Party) that:

(1)

are incurred by the commissioner or under the commissioner’s authority; and

(2)

are directly attributable to that examination, including the actual salaries and expenses of the examiners directly attributable to that examination, as determined under rules adopted by the commissioner.

(d)

Fees collected under this section shall be deposited to the credit of the Texas Department of Insurance operating account.
Added by Acts 2005, 79th Leg., Ch. 265 (H.B. 7), Sec. 4.02, eff. September 1, 2005.
Amended by:
Acts 2007, 80th Leg., R.S., Ch. 188 (S.B. 1253), Sec. 2, eff. September 1, 2007.

Source: Section 1305.251 — Examination of Network, https://statutes.­capitol.­texas.­gov/Docs/IN/htm/IN.­1305.­htm#1305.­251 (accessed Jun. 5, 2024).

1305.001
Short Title 1305.002
Purpose 1305.003
Limitations on Applicability 1305.004
Definitions 1305.005
Participation in Network 1305.006
Insurance Carrier Liability for Out-of-network Health Care 1305.007
Rules 1305.008
Administrator Certificate of Authority Required 1305.051
Certification Required 1305.052
Certificate Application 1305.053
Contents of Application 1305.054
Action on Application 1305.055
Use of Certain Insurance Terms by Network Prohibited 1305.056
Restraint of Trade 1305.101
Providing or Arranging for Health Care 1305.102
Management Contracts 1305.103
Treating Doctor 1305.104
Selection of Treating Doctor 1305.106
Payment of Health Care Provider 1305.107
Telephone Access 1305.151
Transfer of Risk 1305.152
Network Contracts with Providers 1305.153
Provider Reimbursement 1305.154
Network-carrier Contracts 1305.155
Compliance Requirements 1305.201
Network Financial Requirements 1305.251
Examination of Network 1305.252
Examination of Provider or Third Party 1305.301
Network Organization 1305.302
Accessibility and Availability Requirements 1305.303
Quality of Care Requirements 1305.304
Guidelines and Protocols 1305.351
Utilization Review in Network 1305.353
Notice of Certain Utilization Review Determinations 1305.354
Reconsideration of Adverse Determination 1305.355
Independent Review of Adverse Determination 1305.356
Contested Case Hearing on and Judicial Review of Independent Review 1305.401
Complaint System Required 1305.402
Complaint Initiation and Initial Response 1305.403
Record of Complaints 1305.404
Retaliatory Action Prohibited 1305.405
Posting of Information on Complaint Process Required 1305.451
Employee Information 1305.502
Consumer Report Cards 1305.503
Confidentiality Requirements 1305.551
Determination of Violation 1305.552
Disciplinary Actions 1305.1545
Restrictions on Payment and Reimbursement
Green check means up to date. Up to date

Accessed:
Jun. 5, 2024

§ 1305.251’s source at texas​.gov