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Texas Insurance Code - INS § 1272.063. Enrollee Complaints

Current as of January 01, 2024 | Updated by Findlaw Staff

(a) A delegation agreement required by Section 1272.052 must provide that:

(1) if the delegated entity receives a complaint that does not involve emergency care, the entity shall report the complaint to the health maintenance organization not later than the second business day after the date the entity receives the complaint; and

(2) if the delegated entity receives a complaint involving emergency care, the entity shall immediately forward the complaint to the health maintenance organization.

(b) Subsection (a) does not prohibit a delegated entity from attempting to resolve a complaint.

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Cite this article: FindLaw.com - Texas Insurance Code - INS § 1272.063. Enrollee Complaints - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-1272-063/

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