CHAPTER 1212. TECHNICAL ADVISORY COMMITTEE ON CLAIMS PROCESSING - Texas Statutes

INSURANCE CODE

TITLE 8. HEALTH INSURANCE AND OTHER HEALTH COVERAGES

SUBTITLE A. HEALTH COVERAGE IN GENERAL

CHAPTER 1212. TECHNICAL ADVISORY COMMITTEE ON

CLAIMS PROCESSING

Sec. 1212.001. APPOINTMENT OF COMMITTEE. The commissioner shall

appoint a technical advisory committee on processing by insurers

and health maintenance organizations of claims by physicians and

other health care providers for medical care and health care

services provided to patients.

Added by Acts 2005, 79th Leg., Ch.

728, Sec. 11.028(a), eff. September 1, 2005.

Sec. 1212.002. COMMITTEE POWERS AND DUTIES. (a) The technical

advisory committee shall advise the commissioner on technical

aspects of coding of health care services and claims development,

submission, processing, adjudication, and payment, as well as the

impact on those processes of contractual requirements and

relationships, including relationships among employers, health

benefit plans, insurers, health maintenance organizations,

preferred provider organizations, electronic clearinghouses,

physicians and other health care providers, third-party

administrators, independent physician associations, and medical

groups. The committee shall also advise the commissioner with

respect to the implementation of the standardized coding and

bundling edits and logic.

(b) The commissioner shall consult the technical advisory

committee before adopting any rule related to the subjects

described by Subsection (a).

Added by Acts 2005, 79th Leg., Ch.

728, Sec. 11.028(a), eff. September 1, 2005.

Sec. 1212.003. COMMITTEE REPORT. On or before September 1 of

each even-numbered year, the technical advisory committee shall

issue a report to the legislature on the committee's activities.

Added by Acts 2005, 79th Leg., Ch.

728, Sec. 11.028(a), eff. September 1, 2005.

Sec. 1212.004. COMMITTEE MEMBER COMPENSATION. Members of the

technical advisory committee serve without compensation.

Added by Acts 2005, 79th Leg., Ch.

728, Sec. 11.028(a), eff. September 1, 2005.

Sec. 1212.005. APPLICABILITY OF CERTAIN LAWS. Section 39.003(a)

and Chapter 2110, Government Code, do not apply to the technical

advisory committee established under this chapter.

Added by Acts 2005, 79th Leg., Ch.

728, Sec. 11.028(a), eff. September 1, 2005.