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Home > Title 28 > Part 1 > Chapter 21 >Subchapter T > Rule 21.2814
TITLE 28 - INSURANCE
PART 1 - TEXAS DEPARTMENT OF INSURANCE
CHAPTER 21 - TRADE PRACTICES
SUBCHAPTER T - SUBMISSION OF CLEAN CLAIMS
SECTION/RULE §21.2814 - Electronic Adjudication of Prescription Benefits
Chapter Review Date 06/08/2021

If a prescription benefit does not require authorization by an MCC, the statutory claims payment period must begin on the date of affirmative adjudication of the claim for a prescription benefit.

Source Note: The provisions of this §21.2814 adopted to be effective May 23, 2000, 25 TexReg 4543; amended to be effective October 5, 2003, 28 TexReg 8647; amended to be effective February 16, 2014, 39 TexReg 747.

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