LegalFix
Individuals & FamiliesSmall BusinessesNonprofitsEmployersEmployee Benefits BrokersPEOsCredit UnionsMembership GroupsLegal Information
Sign In
  1. /
  2. /
  3. Subchapter C. Prompt Payment of Claims


Subchapter C. Prompt Payment of Claims


  • Section 1301.101. Definition
  • Section 1301.102. Submission of Claim
  • Section 1301.1021. Receipt of Claim
  • Section 1301.103. Deadline for Action on Clean Claims
  • Section 1301.104. Deadline for Action on Pharmacy Claims; Payment
  • Section 1301.105. Audited Claims
  • Section 1301.1051. Completion of Audit
  • Section 1301.1052. Preferred Provider Appeal After Audit
  • Section 1301.1053. Deadlines Not Extended
  • Section 1301.1054. Requests for Additional Information
  • Section 1301.106. Claims Processing Procedures and Claims Payment Processes
  • Section 1301.107. Contractual Waiver and Other Actions Prohibited
  • Section 1301.108. Attorney's Fees
  • Section 1301.109. Applicability to Entities Contracting With Insurer
We have updated our Terms of Service, Privacy Policy, and Disclosures. By continuing to browse this site, you agree to our Terms of Service, Privacy Policy, and Disclosures.
AboutContact UsPrivacyTermsDisclosuresAccessibilitySite Map

Copyright ©2024 LegalFix. All rights reserved. LegalFix is not a law firm, is not licensed to practice law, and does not provide legal advice, services, or representation. The information on this website is an overview of the legal insurance products you can purchase—or that may be provided by your employer as an employee benefit or by your credit union or other membership group as a membership benefit.

LegalFix provides its members with access to legal services through a network of provider law firms. LegalFix, its corporate entity, and its officers, directors, employees, agents, and contractors do not provide legal advice, services, or representation—directly or indirectly.

The articles and information on the site are not legal advice and should not be relied upon—they are for information purposes only. You should become a LegalFix member to get legal services from one of our provider law firms.

You should not disclose confidential or potentially incriminating information to LegalFix—you should only communicate such information to your provider law firm.

The benefits and legal services described in the LegalFix legal plans are not always available in all states or with all plans. See the legal plan Benefit Overview and the more comprehensive legal plan contract during checkout for coverage details in your state.

Use of this website, the purchase of legal insurance products, and access to the LegalFix network of provider law firms are subject to the LegalFix Terms of Service and Privacy Policy.

Bookish