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Monday, February 23, 2009

BILLS REQUIRE REAL-TIME ADJUDICATION, REAL-TIME PATIENT INFORMATION

Two state lawmakers have filed bills to advance one of TMA’s top priorities: requiring health plans to provide real-time adjudication of claims at the point of service. Plans also must provide real-time information on which physicians and providers are in the patient’s network, the amount of the patient’s deductibles, usual and customary amounts for out-of-network care, and the patient’s potential out-of-pocket expense. Senate Bill 863 by Sen. Chris Harris (R-Arlington) and House Bill 1342 by Rep. Jose Menendez (D-San Antonio) will be at the top of the list of legislation our white-coated lobbyists will push at the March 3 First Tuesdays at the Capitol. I hope you can be there.

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