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Texas Administrative Code
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Title 28 Insurance
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Part 1 Texas Department of Insurance
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Chapter 21 Trade Practices
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Subchapter T Submission of Clean Claims
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Rule 21.2801 Purpose and Scope
Rule 21.2802 Definitions
Rule 21.2803 Elements of A Clean Claim
Rule 21.2804 Requests for Additional Information from Treating Preferred Provider
Rule 21.2805 Requests for Additional Information from Other Sources
Rule 21.2806 Claims Filing Deadline
Rule 21.2807 Effect of Filing A Clean Claim
Rule 21.2808 Effect of Filing Deficient Claim
Rule 21.2809 Audit Procedures
Rule 21.2810 Date of Claim Payment
Rule 21.2811 Disclosure of Processing Procedures
Rule 21.2812 Denial of Clean Claim Prohibited for Change of Address
Rule 21.2813 Requirements Applicable to Other Contracting Entities
Rule 21.2814 Electronic Adjudication of Prescription Benefits
Rule 21.2815 Failure to Meet the Statutory Claims Payment Period
Rule 21.2816 Date of Receipt
Rule 21.2817 Terms of Contracts
Rule 21.2818 Overpayment of Claims
Rule 21.2819 Catastrophic Event
Rule 21.2820 Identification Cards
Rule 21.2821 Reporting Requirements
Rule 21.2822 Administrative Penalties
Rule 21.2823 Applicability to Certain Noncontracting Physicians and Providers
Rule 21.2824 Applicability
Rule 21.2825 Severability
Rule 21.2826 Waiver
