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Current as of January 01, 2024 | Updated by Findlaw Staff
If, on completion of the credentialing process, the managed care plan issuer determines that the applicant podiatrist does not meet the issuer's credentialing requirements:
(1) the managed care plan issuer may recover from the applicant podiatrist or the podiatrist's professional practice an amount equal to the difference between payments for in-network benefits and out-of-network benefits; and
(2) the applicant podiatrist or the podiatrist's professional practice may retain any copayments collected or in the process of being collected as of the date of the issuer's determination.
Cite this article: FindLaw.com - Texas Insurance Code - INS § 1452.156. Effect of Failure to Meet Credentialing Requirements - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-1452-156/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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