Texas HB3042 establishes regulations for laboratory claim integrity programs for health benefit plans.
Texas HB3042 amends the Insurance Code to create Chapter 1224, which governs laboratory claim integrity programs for health benefit plans. These programs must apply objective, evidence-based, and population-based clinical laboratory testing reimbursement policies and provide a summary of the program on their public Internet website. The bill prohibits these programs from requiring the use of specific software, restricting software choices, or influencing third-party claim-filing.
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