28 Tex. Admin. Code § 21.4505 - Requirement to Collect Data
(a) Each
applicable health benefit plan issuer and plan specified in §
21.4502(a) and
(b) of this title must annually collect the
data specified under §
21.4507 of this title and prepare
and file data as provided.
(b) Data
elements and health care services specified under §
21.4507(b) and
(c) of this title must be collected with
respect to medical billing codes specified by TDI. The current set of medical
billing codes will be available to issuers in a Microsoft Excel template on
TDI's website at www.tdi.texas.gov/health/reimbursement.html. If there are
changes in standard medical practice or medical billing codes that necessitate
changing the identified billing codes for the services specified in §
21.4507(c) of
this title, the billing codes on TDI's website will be updated and affected
carriers notified, but in no event will these updates occur more often than
annually or less than six months before the May 1 reporting deadline.
Notes
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