Texas § 1467.089 EFFECT OF DECISION.

Texas Statutes

§ 1467.089 — EFFECT OF DECISION.

Texas § 1467.089

Code INInsurance Code

This text of Texas § 1467.089 (EFFECT OF DECISION.) is published on Counsel Stack Legal Research, covering Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Tex. Insurance Code Code Ann. § 1467.089 (2026).

Text

Sec. 1467.089. EFFECT OF DECISION.

(a)An arbitrator's decision under Section 1467.088 is binding.

(b)Not later than the 45th day after the date of an arbitrator's decision under Section 1467.088 , a party not satisfied with the decision may file an action to determine the payment due to an out-of-network provider.

(c)In an action filed under Subsection (b), the court shall determine whether the arbitrator's decision is proper based on a substantial evidence standard of review.

(d)Not later than the 30th day after the date of an arbitrator's decision under Section 1467.088 , a health benefit plan issuer or administrator shall pay to an out-of-network provider any additional amount necessary to satisfy the binding award. SUBCHAPTER C. BAD FAITH PARTICIPATION

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Sec. 1467.089. EFFECT OF DECISION. (a) An arbitrator's decision under Section 1467.088 is binding.
(b) Not later than the 45th day after the date of an arbitrator's decision under Section 1467.088 , a party not satisfied with the decision may file an action to determine the payment due to an out-of-network provider.
(c) In an action filed under Subsection (b), the court shall determine whether the arbitrator's decision is proper based on a substantial evidence standard of review.
(d) Not later than the 30th day after the date of an arbitrator's decision under Section 1467.088 , a health benefit plan issuer or administrator shall pay to an out-of-network provider any additional amount necessary to satisfy the binding award.
SUBCHAPTER C. BAD FAITH PARTICIPATION

Unitedhealthcare Insurance Company Unitedhealthcare of Texas, Inc. v. Acs Primary Care Physicians Southwest, P.A. Hill County Emergency Medical Associates, P.A. Longhorn Emergency Medical Associates, P.A. Central Texas Emergency Associates, P.A. Emergency Associates of Central Texas, P.A. Emergency Services of Texas, P.A.

(Texas Supreme Court, 2023)

Michael Nazarian MD Assoc. LLC v. Aetna Life Insurance Company, Inc.

(Court of Appeals of Texas, 2023)