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TITLE 28 - INSURANCE
PART 1 - TEXAS DEPARTMENT OF INSURANCE
CHAPTER 21 - TRADE PRACTICES
SUBCHAPTER 21.4901.html - null
SECTION/RULE §21.4901 - Purpose and Applicability
Chapter Review Date 06/08/2021

(a) The purpose of this subchapter is to interpret and implement Insurance Code §§1271.157, 1271.158, 1275.052, 1275.053, 1301.164, 1301.165, 1551.229, 1551.230, 1575.172, 1575.173, 1579.110, and 1579.111; and Insurance Code Chapter 1467.(b) Section 21.4903 of this title is only applicable to a covered nonemergency health care or medical service or supply provided by:(1) a facility-based provider that is not a participating provider for a health benefit plan, if the service or supply is provided at a health care facility that is a participating provider; or(2) a diagnostic imaging provider or laboratory service provider that is not a participating provider for a health benefit plan, if the service or supply is provided in connection with a health care or medical service or supply provided by a participating provider.

Source Note: The provisions of this §21.4901 adopted to be effective June 25, 2020, 45 TexReg 4204; amended to be effective February 20, 2022, 47 TexReg 792.

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