Denial of Clean Claim Prohibited for Change of Address

After a change of claims payment address or a change in delegation of claims payment functions, an MCC may not premise the denial of a clean claim on a preferred provider's failure to file a claim within the claim filing deadline set out in §21.2806 of this title (relating to Claim Filing Deadline), unless the MCC has given timely written notice as required by §21.2811(b) of this title (relating to Disclosure of Processing Procedures).

Source Note: The provisions of this §21.2812 adopted to be effective May 23, 2000, 25 TexReg 4543; amended to be effective October 5, 2003, 28 TexReg 8647; amended to be effective February 16, 2014, 39 TexReg 747.