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Chapter 1467

Out-of-Network Claim Dispute Resolution

Subchapter A. General Provisions

1467.001 Definitions 1467.002 Applicability of Chapter 1467.003 Rules 1467.004 Remedies Not Exclusive 1467.005 Reform 1467.006 Benchmarking Database

Subchapter B. Mandatory Mediation for Out-of-Network Facilities

1467.050 Applicability of Subchapter 1467.0505 Establishment and Administration of Mediation Program 1467.051 Availability of Mandatory Mediation 1467.052 Mediator Qualifications 1467.053 Appointment of Mediator; Fees 1467.054 Request and Preliminary Procedures for Mandatory Mediation 1467.055 Conduct of Mediation; Confidentiality 1467.056 Matters Considered in Mediation; Agreed Resolution 1467.0575 Right to File Action 1467.060 Report of Mediator

Subchapter B-1. Mandatory Binding Arbitration for Other Providers

1467.081 Applicability of Subchapter 1467.082 Establishment and Administration of Arbitration Program 1467.083 Issue to Be Addressed; Basis for Determination 1467.084 Availability of Mandatory Arbitration 1467.085 Effect of Arbitration and Applicability of Other Law 1467.086 Selection and Approval of Arbitrator 1467.087 Procedures 1467.088 Decision 1467.089 Effect of Decision

Subchapter C. Bad Faith Participation

1467.101 Bad Faith 1467.102 Penalties

Subchapter D. Complaints; Consumer Protection

1467.151 Consumer Protection; Rules