Texas Prompt Payment Act
The Texas Prompt Payment Act was created to help doctors, physician groups, hospitals and clinics recover overdue, underpaid, or unpaid insurance payments. The law states that if a healthcare provider does not receive his or her fees on time and in full, the insurance company can be subjected to steep penalties.
We at Williams Kherkher are proud to help doctors across Texas with their prompt pay claims. We understand how important it is for you to receive the fees you are rightfully owed and we are committed to representing your case. To discuss your situation with one of our prompt pay attorneys, contact us today by calling 800-761-3187.
Prompt Pay Law
Insurance companies can be a burden to your practice. Fortunately, the law is favorable to doctors seeking to recover payment and it imposes strict penalties for insurers that do not pay fees on time and in full. When a payment is late, the insurance provider is subjected to the following graduated penalties in addition to the fees already owed:
- Overdue by 1 to 45 days: 50% of the difference between the contracted rate and billed charges, or $100,000, whichever is less
- Overdue by 46 to 90 days: 100% of the difference between the contracted rate and billed charges, or $200,000, whichever is less
- Overdue by 91 or more days: 100% of the difference between the contracted rate and billed charges plus an additional 18% annual interest on the penalty amount
If you have questions about overdue or underpaid fees, our prompt pay attorneys are prepared to help. We work on a contingent fee arrangement, meaning you pay us nothing unless we make a recovery for you. We use sophisticated forensic accounting and data mapping techniques to identify fees that should have been paid or were paid late, and we will work aggressively to recover full payment plus penalties for you.
The Texas Prompt Payment Act gives doctors the right to pursue the fees and penalties that they are owed for unpaid, underpaid, and delayed insurance payments. To consult with a Texas prompt pay collection attorney about your legal options, do not hesitate to contact Williams Kherkher today at 800-761-3187.