Current through Reg. 49, No. 50; December 13, 2024
Section 10.120 - Complaint System Required(a) Each network must implement and maintain a complaint system compliant with Insurance Code Chapter 1305, Subchapter I, concerning Complaint Resolution, and this subchapter that provides reasonable procedures for resolving an oral or written complaint.(b) For purposes of this subchapter, a complaint relating to a fee dispute is a complaint from a provider regarding failure to pay a claim in accordance with the contract between the network and provider.28 Tex. Admin. Code § 10.120
The provisions of this §10.120 adopted to be effective December 5, 2005, 30 TexReg 8099; The provisions of this §10.120 adopted to be effective December 5, 2005, 30 TexReg 8099; Amended by Texas Register, Volume 47, Number 30, July 29, 2022, TexReg 4555, eff. 8/2/2022