If an out of state patient covered by a Texas plan receives treatment from a Texas provider, will the Texas prompt pay rules apply?
Yes. As noted in the FAQs above, the prompt pay rules apply to preferred provider health benefit and HMO plans that are issued in Texas, and to claims from physicians and providers licensed or otherwise authorized to practice in Texas. The residence of the patient is not a determining factor as to whether the Texas prompt pay rules do or do not apply.
Related Questions
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- If an out of state patient covered by a Texas plan receives treatment from an out of state provider, will the Texas prompt pay rules apply?
- If an out of state patient covered by a Texas plan receives treatment from a Texas provider, will the Texas prompt pay rules apply?
