Tex. Ins. Code Section 1661.002
Use of Certain Information Technology Required

(a)

A health benefit plan issuer shall use information technology that provides a participating provider with real-time information at the point of care concerning:

(1)

the enrollee’s:

(A)

copayment and coinsurance;

(B)

applicable deductibles; and

(C)

covered benefits and services; and

(2)

the enrollee’s estimated total financial responsibility for the care.

(b)

A health benefit plan issuer shall use information technology that provides an enrollee with information concerning the enrollee’s:

(1)

copayment and coinsurance;

(2)

applicable deductibles;

(3)

covered benefits and services; and

(4)

estimated financial responsibility for the health care provided to the enrollee.

(c)

Nothing in this section may be interpreted as a guarantee of payment for health care services.

(d)

A health benefit plan issuer’s Internet website may be used to meet the information technology requirements of this chapter.
Added by Acts 2009, 81st Leg., R.S., Ch. 261 (H.B. 1342), Sec. 1, eff. May 30, 2009.

Source: Section 1661.002 — Use of Certain Information Technology Required, https://statutes.­capitol.­texas.­gov/Docs/IN/htm/IN.­1661.­htm#1661.­002 (accessed May 18, 2024).

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Accessed:
May 18, 2024

§ 1661.002’s source at texas​.gov