Managed care contracts can be a jungle of legal language, and physicians who do not carefully pick their way through the various clauses can be in for a nasty surprise. The TMA Office of General Counsel identifies some of the contract clauses of which physicians should be aware.
Secured Transactions
Amending Contracts
Texas Department of Insurance Rules and Managed Care Contract Clauses
Policies and Procedures in Managed Care Contracts
The Basic Elements of a Contract
The "Most Favored Nation Clause" of Managed Care Contracts
The Nondiscrimination Clause of Managed Care Contracts
Termination Clauses in Managed Care Contracts
The Covered Services Clause of Managed Care Contracts
Indemnity Clauses in Managed Care Contracts
Clean Claims
NOTICE: This information is provided as a commentary on legal issues and is not intended to provide advice on any specific legal matter. This information should NOT be considered legal advice and receipt of it does not create an attorney-client relationship. This is not a substitute for the advice of your own attorney. The Office of the General Counsel of the Texas Medical Association provides this information with the express understanding that (1) no attorney-client relationship exists, (2) neither TMA nor its attorneys are engaged in providing legal advice, and (3) the information is of a general character. Although TMA has attempted to present materials that are accurate and useful, some material may be outdated, and TMA shall not be liable to anyone for any inaccuracy, error, or omission, regardless of cause, or for any damages resulting therefrom. You should not rely on this information when dealing with personal legal matters; rather legal advice from retained legal counsel should be sought. Any legal forms are only provided for the use of physicians in consultation with their attorneys.
Last Updated On
March 18, 2022
Originally Published On
March 23, 2010