Texas Supreme Court: Providers Cannot Assert Pay Violation Against HMO

AUSTIN, Texas - The Texas Supreme Court on April 19 held that health care providers could not assert a prompt-pay violation against a health maintenance organization because it had contracts only with the HMO's network and not the HMO (Christus Health Gulf Coast, et al. v. Aetna Inc., et al., No. 11-483, Texas Sup.; 2013 Tex. LEXIS 296).

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