Form AH025 Balance Billing Waiver - Texas

What Is Form AH025?

This is a legal form that was released by the Texas Department of Insurance - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form AH025?
A: Form AH025 is a Balance Billing Waiver in Texas.

Q: What is balance billing?
A: Balance billing is when a healthcare provider bills a patient for the difference between what the insurance company pays and the provider's charges.

Q: What is a balance billing waiver?
A: A balance billing waiver is a form that patients in Texas can use to request that healthcare providers do not balance bill them.

Q: Who can use Form AH025?
A: Form AH025 can be used by patients in Texas who have received a balance bill from a healthcare provider.

Q: What information is required on Form AH025?
A: Form AH025 requires information such as the patient's name, address, insurance information, and details about the balance bill.

Q: What should I do with Form AH025 once completed?
A: Once completed, you should submit Form AH025 to your insurance company.

Q: What happens after I submit Form AH025?
A: After you submit Form AH025, your insurance company will review the form and determine if the balance billing should be waived.

Q: What if my balance billing waiver is denied?
A: If your balance billing waiver is denied, you may have other options such as filing a complaint with the Texas Department of Insurance.

Q: Is Form AH025 only for Texas residents?
A: Yes, Form AH025 is specifically for residents of Texas.