145.031 Requirement for Medical Insurance Companies to Provide Online Real-Time Insurance Claim Adjudication

145.031

Requirement for Medical Insurance Companies to Provide Online Real-Time Insurance Claim Adjudication: The Texas Medical Association supports medical insurance companies providing online real-time adjudication of medical insurance claims to include verification of insurance eligibility for beneficiaries, as well as real-time verification of current deductible amounts, copay fees, and benefits schedules for all covered office and hospital outpatient and inpatient services. TMA will urge legislators to change state law to require the provision of such real-time claim adjudication by medical insurance companies and will urge Congress to change federal law to require provision of such real-time claims adjudication by medical insurance companies (Res. 407-A-14).

Last Updated On

June 20, 2019