Current with legislation from the 2023 Regular and Special Sessions signed by the Governor as of November 21, 2023.
Section 843.339 - Deadline for Action on Prescription Claims; Payment(a) A health maintenance organization, or a pharmacy benefit manager that administers pharmacy claims for the health maintenance organization, that affirmatively adjudicates a pharmacy claim that is electronically submitted shall pay the total amount of the claim through electronic funds transfer not later than the 18th day after the date on which the claim was affirmatively adjudicated.(b) A health maintenance organization, or a pharmacy benefit manager that administers pharmacy claims for the health maintenance organization, that affirmatively adjudicates a pharmacy claim that is not electronically submitted shall pay the total amount of the claim not later than the 21st day after the date on which the claim was affirmatively adjudicated.Amended By Acts 2011, 82nd Leg., R.S., Ch. 798, Sec. 3, eff. 9/1/2011.Amended by Acts 2003, 78th Leg., ch. 214, Sec. 10, eff. 6/17/2003.Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. 6/1/2003.