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TITLE 28 - INSURANCE
PART 1 - TEXAS DEPARTMENT OF INSURANCE
CHAPTER 13 - MISCELLANEOUS INSURERS AND OTHER REGULATED ENTITIES
SUBCHAPTER E - HEALTH CARE COLLABORATIVES
SECTION/RULE §13.493 - Rights of Physicians
Chapter Review Date 06/08/2021

Before a complaint against a physician under Insurance Code §848.107 is resolved, or before a physician's association with an HCC is involuntarily terminated, the HCC must provide the physician an opportunity to dispute the complaint or termination through a process that includes:(1) written notice of the complaint or basis of the termination;(2) opportunity for hearing not earlier than the 30th day after the physician receives notice under paragraph (1) of this section;(3) the right to provide information at the hearing; and(4) a written decision that includes specific facts and reasons for the decision.

Source Note: The provisions of this §13.493 adopted to be effective March 31, 2013, 38 TexReg 2100.

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