Section 21.3804 - Requests for Eligibility Statements(a) A participating provider may, prior to providing services to an enrollee, request an eligibility statement using a method designated by the health benefit plan issuer.(b) A request under subsection (a) of this section must include: (1) the enrollee's full name;(2) the enrollee's relationship to the primary enrollee; and(3) the enrollee's birth date.(c) If the participating provider is seeking information concerning the enrollee's benefits under § 21.3805(c)(2)(B) of this subchapter (relating to Requirement to Provide Eligibility Statements), the request must also include a description of the specific type or category of service.28 Tex. Admin. Code § 21.3804
The provisions of this §21.3804 adopted to be effective January 19, 2006, 31 TexReg 301