{"id":"AGY-ST-INSURANCE-BANKING-018","kind":"order","level":"sector-regulator","jurisdiction":"Texas; Texas Department of Insurance","state":"TX","metro":"","industry":"","agency":"ST-INSURANCE-BANKING","eco":"","issuer":"Commissioner of Insurance","authority":"Tex. Ins. Code §§ 843.337(b), 1301.102(d)","instrument":"Commissioner\u0027s Bulletin # B-0015-20","title":"COVID-19: Claim-submission deadlines","dateIssued":"2020-03-27","effective":"2020-03-27","end":"Tolling runs for the length of each provider\u0027s certified interruption; certification due within 10 days after return to normal operations","startDate":"2020-03-27","endDate":"2021-09-30","quarters":["2020Q2","2020Q3","2020Q4","2021Q1","2021Q2","2021Q3"],"types":["HC","OTHER"],"addressees":["all life, accident and health insurers","HMOs","health care providers"],"clause":"Texas Insurance Code Sections 843.337(b) and 1301.102(d) and TDI rule 28 TAC Section 21.2819 authorize tolling of the submission deadline when a provider cannot meet the deadline due to a catastrophic event, such as the COVID-19 pandemic. Providers that cannot meet the claim submission deadline due to the COVID-19 pandemic must notify TDI at PromptPay@TDI.texas.gov... When the provider returns to normal business operations, it must: Send TDI a certification of the catastrophic event within 10 days after the date business operations return to normal. The certification must be a sworn affidavit, must identify the specific nature and dates of the catastrophic event, and must state the length of time the event caused an interruption in the provider\u0027s submission of claims.","enforcement":"Tex. Ins. Code ch. 843, 1301 (prompt payment); forfeiture of payment for providers who fail to certify","functions":["IN health insurers (claims intake)","FD/OF billing and claims functions of every Texas health care provider (industries 01-04): the regulator treated the pandemic as a \u0027catastrophic event\u0027 interrupting claim submission"],"notes":"The certification requirement is itself a record, sworn by the provider, of the \u0027length of time the event caused an interruption\u0027 in the provider\u0027s operations.","sourceUrl":"https://www.tdi.texas.gov/bulletins/2020/B-0015-20.html","snapshot":"https://web.archive.org/web/20200408233712/https://www.tdi.texas.gov/bulletins/2020/B-0015-20.html","fileExists":true,"fileBytes":213413,"grade":"primary","character":"","description":"","collection":"AGY-ST-INSURANCE-BANKING","url":"/library/AGY-ST-INSURANCE-BANKING-018","exhibitUrl":"/exhibit/AGY-ST-INSURANCE-BANKING-018","citation":"Commissioner of Insurance, Commissioner\u0027s Bulletin # B-0015-20 (Mar. 27, 2020) (Ex. AGY-ST-INSURANCE-BANKING-018)","stateName":"Texas","related":["AGY-ST-INSURANCE-BANKING-015","AGY-ST-INSURANCE-BANKING-019"]}