Texas Department of Insurance

Physicians & Health Providers

This is the Physician/Provider webpage on the TDI website. This page is designed to assist physicians and other health care providers find information related to the prompt payment of claims, the filing of complaints, and credentialing for fully insured health plans. In addition, this page will provide links to helpful information on workers’ compensation insurance, medical malpractice, and professional liability insurance. Note that the prompt pay and credentialing resources on this page do not apply to workers’ compensation insurance.

If you are a consumer, please see our consumer page for more information. If you are looking for a particular provider in your health plan network, please consult your insurance carrier for a list of participating providers.

Provider Quick Links

Chiropractors Resource · Pharmacists Resource · Consumer Health Publications 

Health Care Provider Web Site Survey - Please provide feedback on the new web design.  NEW!

Provider Resources

Complaints - includes links to information about avoiding filing errors, reporting to the proper agency and filing justified complaints.

Complaint Form | Complain to Proper Agency | Avoid Filing Errors | Justified Complaint Defined (PDF)

Rules  - includes links to Rules and Proposed Rules.

Rules | Proposed and Adopted Rules for 2008 | Prompt Payment Final Rules

Credentialing - includes links to the credentialing application and information on how to complete.

Application | How To Complete the Application | Rule

Prompt Pay - includes links to frequently asked questions, TACCP meeting notes, and guidelines.

FAQs | TACCP | Guidelines | Virtual Workshop

Enforcement - includes links to restitution and unauthorized insurance plans.

Restitution 101 | Unauthorized Insurance Plans

Helpful Information - includes links to news releases, provider news, HMO patient notice, and helpful forms and reports.

eNews | Forms | Reports | More

Professional Liability - includes links to JUA, professional liability admitted carriers and medical malpractice information.

Provider JUA | Medical Malpractice | Professional Liability Admitted Carriers | Medical Malpractice Insurance Overview and Discussion (PDF) (zip)

Education Resources - includes links to workshop handouts, as well as SB 418, HB 610, "clean claims" and "prompt pay" materials.

Medicare Advantage Tips for Providers | SB 50 & SB 51 Provider Resource (PDF) (MS Word) | Finding Your Way To Prompt Pay (PDF) (zip) | More

Workers' Compensation - includes Workers' Compensation related links.

Networks | Informal Working Group | Workers' Comp Reform / TDI-TWCC Transition

Related Links

Physician / Provider Directory Listing

• Carrier - Managed Care Payor Resource Page
• Carrier Prompt Pay Compliance - 2001 Workshop Enforcement 1
• Carrier Prompt Pay Compliance - 2001 Workshop Enforcement 1A
• Carrier Prompt Pay Compliance - 2001 Workshop HCFA 1500
• Carrier Prompt Pay Compliance - 2001 Workshop HCFA 1500 Part 2
• Carrier Prompt Pay Compliance - 2001 Workshop Provider Ombudsman
• Carrier Prompt Pay Compliance - 2001 Workshop UB-92
• Carrier Prompt Pay Compliance - 2001 Workshop UB-92 Part 2
• Carrier Prompt Pay Compliance - 2003 Emergency Rules
• Carrier Prompt Pay Compliance - August 8, 2001 Workshop Comments
• Carrier Prompt Pay Compliance - Clean Claim Rules Overview
• Carrier Prompt Pay Compliance - June 25, 2001 Workshop Comments
• Carrier Prompt Pay Compliance - June 25, 2001 Workshop Q & A
• Chiropractors Meeting Notes
• Chiropractors Resource Page
• Education Resources Additional Information
• Frequently Asked Questions
• Medicare Advantage Tips for Providers
• More Helpful Information
• Pharmacists Resource Page
• Professional Liability - Provider JUA
• Prompt Pay FAQs
• Prompt Payment of Health Care Claims Final Rules
• Provider - Advice, Bulletins, News, Rules Part 2
• Provider Clean Claims - Avoid Claim/Complaint Filing Errors
• Provider Clean Claims - Emergency Rule & HB610 FAQs
• Provider Clean Claims - HB 610 Provider FAQs
• Provider Clean Claims - Payment Rules Comparison Chart
• Provider Clean Claims - Save time! Be Sure Complaint Goes to Proper Agency
• Provider JUA - Facts You Should Know About the JUA
• Provider JUA - Frequently Asked Questions
• Provider JUA - JUA Resources
• Provider Medical Liability - Shopping Guide for Medical Liability Insurance
• Provider - National Provider Identifier (NPI)
• Provider - Prompt Payment Virtual Workshops
• Provider Rules
• Provider - Web Site Resources for Physicians and Providers
• Submission and Prompt Pay of Clean Claims Guidelines

For more information contact: