# 28 Tex. Admin. Code § 21.5001: 28 TAC § 21.5001. Purpose, DIVISION 1. GENERAL PROVISIONS

> Texas · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C21_S21_5001

## Section

- **Citation:** 28 Tex. Admin. Code § 21.5001
- **Heading:** 28 TAC § 21.5001. Purpose, DIVISION 1. GENERAL PROVISIONS
- **Jurisdiction:** Texas
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Texas Administrative Code / Title 28 INSURANCE / Part 1 TEXAS DEPARTMENT OF INSURANCE / Chapter 21 TRADE PRACTICES / 28 TAC § 21.5001

## Text

The purpose of this subchapter is to:
(1) prescribe the process for requesting, initiating,
 and conducting mandatory mediation and mandatory binding arbitration
 of claims as authorized in Insurance Code Chapter 1467, concerning
 Out-of-Network Claim Dispute Resolution;
(2) facilitate the process for the investigation and
 review of a complaint filed with the department that relates to the
 settlement of an out-of-network claim under Insurance Code Chapter
 1467;
(3) prescribe the contents of the explanation of benefits
 as required by Insurance Code §1271.008, concerning Balance Billing
 Prohibition Notice; §1275.003, concerning Balance Billing Prohibition
 Notice; §1301.010, concerning Balance Billing Prohibition Notice; §1551.015,
 concerning Balance Billing Prohibition Notice; §1575.009, concerning
 Balance Billing Prohibition Notice; and §1579.009, concerning
 Balance Billing Prohibition Notice; and
(4) facilitate the collection of data as authorized
 in Insurance Code §1467.006, concerning Benchmarking Database.

## Nearby sections

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C21_S21_5001. Check the current official text before relying on it. Not legal advice.