Texas Insurance Code - INS § 1467.056. Matters Considered in Mediation;  Agreed Resolution

(a) In a mediation under this subchapter, the parties shall

evaluate whether:

(b) The out-of-network provider may present information regarding the amount charged for the health care or medical service or supply.  The health benefit plan issuer or administrator may present information regarding the amount paid by the issuer or administrator.

(c) Nothing in this chapter prohibits mediation of more than one claim between the parties during a mediation.

(d) The goal of the mediation is to reach an agreement between the out-of-network provider and the health benefit plan issuer or administrator, as applicable, as to the amount paid by the issuer or administrator to the out-of-network provider and the amount charged by the out-of-network provider.