Texas Codes
Tex. Ins. Code § 1467.0575 (2026)
Right To File Action
✓ current as of May 2026
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Sec. 1467.0575. RIGHT TO FILE ACTION. Not later than the 45th day after the date that the mediator's report is provided to the department under Section 1467.060, either party to a mediation for which there was no agreement may file a civil action to determine the amount due to an out-of-network provider. A party may not bring a civil action before the conclusion of the mediation process under this subchapter.
Added by Acts 2019, 86th Leg., R.S., Ch. 1342 (S.B. 1264), Sec. 2.13, eff. September 1, 2019.
Notes of Decisions
Cited in 3
cases (3 in the last 5 years), 2024–2026 · leading case: Altus Cmty. Healthcare, LP v. UnitedHealthcare Ins. Co. DO NOT DOCKET. CASE REMANDED to the 152nd Jud. Dist. Court of Harris Cnty., Texas (S.D. Tex. 2025).
Altus Cmty. Healthcare, LP v. UnitedHealthcare Ins. Co. DO NOT DOCKET. CASE REMANDED to the 152nd Jud. Dist. Court of Harris Cnty., Texas (S.D. Tex. 2025). “Indeed, the amount billed and the amount paid are noticeably absent from Texas Insurance Code § 1467.0575. The Court accepts that Plaintiff seeks “the amount due…at the usual and customary rate,” which Plaintiff has stated “can and often does differ from the allowed rate,” i.”
West Grey Props. LLC v. Blue Cross & Blue Shield of Texas (S.D. Tex. 2024). “See Tex. Ins. Code Ann. § 1467.0575 . This lawsuit and motion to dismiss followed.”
Christus Santa Rosa Health Care Corp., Et Al. v. Unitedhealthcare Ins. Co. (E.D. Tex. 2026). “TEX. INS. CODE § 1467.0575. (Dkt. #24-2 at p.”
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