Law:Title 8. Health Insurance And Other Health Coverages. Subtitle A. Health Coverage In General from Chapter 1212. Technical Advisory Committee On (Texas)

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Subtitle A. Health Coverage In General

Contents

Chapter 1212. Technical Advisory Committee On

CLAIMS PROCESSING


Section 1212.001.  Appointment Of Committee.

The commissioner shall appoint a technical advisory committee on processing by insurers and health maintenance organizations of claims by physicians and other health care providers for medical care and health care services provided to patients.

Added by Acts 2005, 79th Leg., Ch. 728, Sec. 11.028(a), eff. September 1, 2005.



Section 1212.002.  Committee Powers And Duties.

(a) The technical advisory committee shall advise the commissioner on technical aspects of coding of health care services and claims development, submission, processing, adjudication, and payment, as well as the impact on those processes of contractual requirements and relationships, including relationships among employers, health benefit plans, insurers, health maintenance organizations, preferred provider organizations, electronic clearinghouses, physicians and other health care providers, third-party administrators, independent physician associations, and medical groups.  The committee shall also advise the commissioner with respect to the implementation of the standardized coding and bundling edits and logic.

(b)  The commissioner shall consult the technical advisory committee before adopting any rule related to the subjects described by Subsection (a).

Added by Acts 2005, 79th Leg., Ch. 728, Sec. 11.028(a), eff. September 1, 2005.



Section 1212.003.  Committee Report.

On or before September 1 of each even-numbered year, the technical advisory committee shall issue a report to the legislature on the committee's activities.

Added by Acts 2005, 79th Leg., Ch. 728, Sec. 11.028(a), eff. September 1, 2005.



Section 1212.004.  Committee Member Compensation.

Members of the technical advisory committee serve without compensation.

Added by Acts 2005, 79th Leg., Ch. 728, Sec. 11.028(a), eff. September 1, 2005.



Section 1212.005.  Applicability Of Certain Laws.

Section 39.003(a) and Chapter 2110, Government Code, do not apply to the technical advisory committee established under this chapter.

Added by Acts 2005, 79th Leg., Ch. 728, Sec. 11.028(a), eff. September 1, 2005.


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