145.037 Out-Of-Network Billing


Out-Of-Network Billing: The Texas Medical Association will advocate legislatively for: (a) mediation for all out-of-network services that is available to patients at all facilities while maintaining the current $500 threshold after copayments, deductibles, and coinsurance as well as mandatory increased state agency oversight of insurers that are often brought to mediation; and (b) development of a standard form for physicians to disclose to patients the identity of other physicians or nonphysician practitioners typically utilized in the facility where the planned surgical procedure or labor and delivery will occur. The form should contain disclaimers for unanticipated complications or events and instruct patients on how they may reach out to those physicians and nonphysician practitioners for further information (BOT Rep. 12-A-16).

Last Updated On

June 20, 2019