The Texas Department of Insurance (TDI) collects and reports information about billing rates for emergency service providers within political subdivisions as set by those political subdivisions. This dataset includes contact information for the reporting political subdivisions. There is a row for the contact information for each reporter and their political subdivision by year and quarter. The data also includes the date the political subdivision reported it.

The Texas Legislature amended Texas Insurance Code Chapter 38 via Senate Bill 2476 during the 88th session to add reporting “relating to consumer protections against certain medical and health care billing by emergency medical services providers. A political subdivision may submit to the department a rate set, controlled, or regulated by the political subdivision for emergency services.”

► For procedure codes rates, refer to dataset:  Emergency Services Billing Rates - Code Rates.

► For National Provider Identifier Standard (NPI) information reported in each political subdivision, refer to dataset: Emergency Services Billing Rates - NPI.

► For ZIP codes within political subdivisions, refer to dataset:  Emergency Services Billing Rates - ZIPs.

Users are responsible for reviewing and updating data before the submission deadlines. Information entered or found in this dataset is subject to change. Visit TDI’s web site disclaimer for more information.

For more information related to this data, visit TDI’s FAQ page.

This data set includes a row for each type of non-appointment relationship between an insurance agent, agency, adjuster, and businesses and an insurance company or another person or business approved to manage insurance-related products or claims. To view a list of formal designations, or appointments, for agents to represent a regulated company, go to Active insurance company appointments for agents and adjusters. To view a list of formal designations, or appointments, for agencies to represent a regulated company, go to Active insurance company appointments for agencies and businesses.

The Texas Department of Insurance, Division of Workers’ Compensation (DWC) maintains a database of institutional medical billing services (SV2). It contains charges, payments, and treatments billed on a CMS-1450 form (UB-92, UB-04) by hospitals and medical facilities that treat injured employees, excluding ambulatory surgical centers, with dates of service for the last five years. For datasets going back to 2010, see institutional medical billing services (SV2) detail information – historical.

The detail contains information to identify insurance carriers, injured employees, employers, place of service, and diagnostic information. The bill details are individual line items that are grouped in the header section of a single bill. The bill selection date and bill ID must be used to group individual line items into a single bill. Find more information in our institutional medical billing services (SV2) detail data dictionary.

See institutional medical billing services (SV2) header information for the corresponding header records related to this dataset.

Go to our page on DWC medical state reporting public use data file (PUDF) to learn more about using this information.

The Texas Department of Insurance, Division of Workers’ Compensation (DWC) maintains a database of pharmacy medical billing services (SV4). It contains charges, payments, and prescriptions billed on a DWC Form-066, Statement of Pharmacy Services by pharmacies with dates of service for the last five years. For datasets going back to 2010, see pharmacy medical billing services (SV4) header information – historical.

The header identifies insurance carriers, injured employees, employers, place of service, and diagnostic information. The bill header information groups individual line items reported in the detail section. The bill selection date and bill ID must be used to group individual line items into a single bill. Find more information in our pharmacy medical billing services (SV4) header data dictionary.

See pharmacy medical billing services (SV4) detail information for the corresponding detail records related to this dataset.

Go to our page on DWC medical state reporting public use data file (PUDF) to learn more about using this information.

The Texas Department of Insurance, Division of Workers' Compensation (DWC) maintains a database of professional medical billing services (SV1). It contains charges, payments, and treatments billed on a CMS-1500 form by doctors and other health care professionals who treat injured employees, including ambulatory surgical centers, with dates of service for the last five years. For datasets going back to 2010, see professional medical billing services (SV1) header information – historical.

The header identifies insurance carriers, injured employees, employers, place of service, and diagnostic information. The bill header information groups individual line items reported in the detail section. The bill selection date and bill ID must be used to group individual line items into a single bill. Find more information in our professional medical billing services (SV1) header data dictionary.

See professional medical billing services (SV1) detail information for the corresponding detail records related to this dataset.

Go to our page on DWC medical state reporting public use data file (PUDF) to learn more about using this information.

The Texas Department of Insurance, Division of Workers’ Compensation (DWC) maintains a database of pharmacy medical billing services (SV4). It contains charges, payments, and prescriptions billed on a DWC Form-066, Statement of Pharmacy Services by pharmacies with dates of service for the last five years. For datasets going back to 2010, see pharmacy medical billing services (SV4) detail information – historical.

The detail section contains information to identify insurance carriers, injured employees, employers, place of service, and diagnostic information. The bill details are individual line items that are grouped in the header section of a single bill. The bill selection date and bill ID must be used to group individual line items into a single bill. Find more information in our pharmacy medical billing services (SV4) detail data dictionary.

See pharmacy medical billing services (SV4) header information for the corresponding header records related this dataset.

Go to our page on DWC medical state reporting public use data file (PUDF) to learn more about using this information.

The Texas Department of Insurance, Division of Workers' Compensation (DWC) maintains a database of professional medical billing services (SV1). It contains charges, payments, and treatments billed on a CMS-1500 form by doctors and other health care professionals who treat injured employees, including ambulatory surgical centers, with dates of service for the last five years. For datasets going back to 2010, see professional medical billing services (SV1) detail information – historical.

The detail contains information to identify insurance carriers, injured employees, employers, place of service, and diagnostic information. The bill details are individual line items that are grouped in the header section of a single bill. The bill selection date and bill ID must be used to group individual line items into a single bill. Find more information in our professional medical billing services (SV1) detail data dictionary.

See professional medical billing services (SV1) header information for the corresponding header records related to this dataset.

Go to our page on DWC medical state reporting public use data file (PUDF) to learn more about using this information.

► The Texas Department of Insurance (TDI) handles complaints against people and organizations licensed by TDI, such as companies, agents, and adjusters. To learn more, go to the TDI webpage, How to get help with an insurance issue or file a complaint.&nbsp ► This dataset does not include the person or organization the complaint is filed against. To view the dataset that includes the "Complaint filed against" column, use TDI Complaints: All Data.

This pie chart shows the total number of complaints closed by the Texas Department of Insurance for each insurance company. The category "(Other)" represents licensees, like agents and adjusters and small insurance companies not listed in the chart legend, but included in the dataset.

The Texas Department of Insurance, Division of Workers' Compensation (DWC) maintains a database of institutional medical billing services (SV2). It contains charges, payments, and treatments billed on a CMS-1450 form (UB-92, UB-04) by hospitals and medical facilities that treat injured employees, excluding ambulatory surgical centers, with dates of service for the last five years. For datasets going back to 2010, see institutional medical billing services (SV2) header information – historical.

The header identifies insurance carriers, injured employees, employers, place of service, and diagnostic information. The bill header information groups individual line items reported in the detail section. The bill selection date and bill ID must be used to group individual line items into a single bill. Find more information in our institutional medical billing services (SV2) header data dictionary.

See institutional medical billing services (SV2) detail information for the corresponding detail records related to this dataset.

Go to our page on DWC medical state reporting public use data file (PUDF) to learn more about using this information.