Tex. Ins. Code Section 1452.206
Effect of Failure to Meet Credentialing Requirements

If, on completion of the credentialing process, the managed care plan issuer determines that the applicant therapeutic optometrist does not meet the issuer’s credentialing requirements:

(1)

the managed care plan issuer may recover from the applicant therapeutic optometrist or the therapeutic optometrist’s professional practice an amount equal to the difference between payments for in-network benefits and out-of-network benefits; and

(2)

the applicant therapeutic optometrist or the therapeutic optometrist’s professional practice may retain any copayments collected or in the process of being collected as of the date of the issuer’s determination.
Added by Acts 2013, 83rd Leg., R.S., Ch. 79 (S.B. 365), Sec. 1, eff. September 1, 2013.

Source: Section 1452.206 — Effect of Failure to Meet Credentialing Requirements, https://statutes.­capitol.­texas.­gov/Docs/IN/htm/IN.­1452.­htm#1452.­206 (accessed May 11, 2024).

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Accessed:
May 11, 2024

§ 1452.206’s source at texas​.gov