# Texas prompt pay law dental

Answer: Under Tex. Ins. Code §1301.002; §843.338; §843.342; Ch. 542 Subch. B, the Texas payment deadline is 30 days (dental HMO clean claims, §843.338) and 45 days (dental HMO clean claims, §843.338). Dental HMO clean claims: §843.342's tiered penalties — the lesser of 50% of the billed-minus-contracted difference or $100,000 (paid late but before day 46 after the required adjudication date), the lesser of 100% or $200,000 (day 46–90), and beyond day 90 the tier-two penalty plus 18% annual interest on the penalty amount. Dental applicability: Split regime. Self-funded (ERISA) plans are outside this statute — federal ERISA deadlines apply to them instead.

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Answer intent ID: `texas-dental-prompt-pay-law`
Cluster: Practice operations
Last verified: 2026-08-29
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## Direct answer

Under Tex. Ins. Code §1301.002; §843.338; §843.342; Ch. 542 Subch. B, the Texas payment deadline is 30 days (dental HMO clean claims, §843.338) and 45 days (dental HMO clean claims, §843.338). Dental HMO clean claims: §843.342's tiered penalties — the lesser of 50% of the billed-minus-contracted difference or $100,000 (paid late but before day 46 after the required adjudication date), the lesser of 100% or $200,000 (day 46–90), and beyond day 90 the tier-two penalty plus 18% annual interest on the penalty amount. Dental applicability: Split regime. Self-funded (ERISA) plans are outside this statute — federal ERISA deadlines apply to them instead.

## Query patterns

- Texas prompt pay law dental
- Texas prompt pay statute dental claims
- Texas dental insurance payment deadline
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- how long does insurance have to pay a dental claim in Texas

Source citations:
- `PROMPTPAY-TEXAS-1` Tex. Ins. Code Ch. 1301 (incl. §1301.002 dental exclusion). <https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1301.htm>
- `PROMPTPAY-TEXAS-2` Tex. Ins. Code Ch. 843 (HMO clean-claim deadlines and penalties). <https://statutes.capitol.texas.gov/Docs/IN/htm/IN.843.htm>
- `PROMPTPAY-TEXAS-3` Tex. Ins. Code Ch. 542 (general prompt payment). <https://statutes.capitol.texas.gov/Docs/IN/htm/IN.542.htm>

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