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  6. Title 43 - State Government...
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  8. Chapter 43.371 - Statewide Health Care Claims D...


Chapter 43.371 - Statewide Health Care Claims Data.


  • 43.371.005 Findings.
  • 43.371.010 Definitions.
  • 43.371.020 Statewide all-payer health care claims database—Selection and duties of lead organization—Certification as qualified entity pursuant to 42 C.F.R. Sec. 401.703(a)—Contract with data vendor.
  • 43.371.030 Submission of claims data to database—Annual status report.
  • 43.371.040 Claims data and database—Exempt from public disclosure—Not subject to subpoena or compulsory process.
  • 43.371.050 Availability of claims or data for retrieval—Confidentiality of claims or data—Duties of the lead organization and the data vendor.
  • 43.371.060 Health care data reports—Public comment period—Preparation—Contents—Publication or release of reports.
  • 43.371.070 Rules.
  • 43.371.080 Cost, performance, and effectiveness of database and performance of lead organization—Reports to the legislature.
  • 43.371.090 State agency coordinating structure—Biennial review—Recommendations.
  • 43.371.100 Development of data set and business process to assist in determining commercially reasonable payment amounts and resolving out-of-network payment disputes for medical services covered under the balance billing protection act.
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