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Current as of January 01, 2024 | Updated by Findlaw Staff
(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.
Cite this article: FindLaw.com - Texas Insurance Code - INS § 1661.002. Use of Certain Information Technology Required - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-1661-002/
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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