The Texas Prompt Pay Act (TPPA) was passed in 2003 and it’s unique to the state of TX. It was in reaction to the lobbying of hospitals and physicians that have been developed by Health Management Organizations (HMOs) and Preferred Provider Organizations (PPO) which were for years not being paid on time. PPOs and HMOs are now health insurance firms, and as such are subject to state and federal regulations governing insurance agencies. A Texas quick pay attorney will usually have doctors, hospitals, and drug stores as clients for TPPA instances. For more information about the Texas Prompt Pay Act, visit www.williamskherkher.com/practice-areas/prompt-pay.
Nonetheless, the TPPA is not same from the Prompt Pay legislative acts, which apply to insurance firms in general, and they have different rules and regulations from the TPPA, though it also tackle the timely payment of insurance claims that are legitimate. Additionally, there are certain fast pay regulations that actually refer to the rules regulating payments by the government to the companies.
The different uses of the term “prompt pay” may be confusing for the lay individual, and adding to the confusion is the fact that states have their own statutes for all of those uses. When referring to prompt pay legislation, you have to ensure that you get the information you are looking for, to be unique about your conditions.
Specifically, in case you are a health care provider in Texas caught PPO or by an HMO to provide particular providers and you are experiencing unreasonable delays or denial of payments, you are most probably covered under the TPPA rather than other statutes. Consult with a quick pay attorney locally to see if you’re qualified for protection under the TPPA.