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- Tex. Insurance Code § 4153.151 · GROUNDS FOR DISCIPLINARY ACTION.
- Tex. Insurance Code § 4153.152 · LICENSE SUSPENSION.
- Tex. Insurance Code § 4153.153 · REINSTATEMENT OR REISSUANCE OF LICENSE.
- Tex. Insurance Code § 4201.001 · PURPOSE.
- Tex. Insurance Code § 4201.002 · DEFINITIONS.
- Tex. Insurance Code § 4201.003 · RULES.
- Tex. Insurance Code § 4201.004 · TELEPHONE ACCESS.
- Tex. Insurance Code § 4201.051 · PERSONS PROVIDING INFORMATION ABOUT SCOPE OF COVERAGE OR BENEFITS.
- Tex. Insurance Code § 4201.052 · CERTAIN CONTRACTS WITH FEDERAL GOVERNMENT.
- Tex. Insurance Code § 4201.053 · MEDICAID AND OTHER STATE HEALTH OR MENTAL HEALTH PROGRAMS.
- Tex. Insurance Code § 4201.054 · WORKERS' COMPENSATION BENEFITS.
- Tex. Insurance Code § 4201.055 · HEALTH CARE SERVICE PROVIDED UNDER AUTOMOBILE INSURANCE POLICY.
- Tex. Insurance Code § 4201.056 · EMPLOYEE WELFARE BENEFIT PLANS.
- Tex. Insurance Code § 4201.057 · HEALTH MAINTENANCE ORGANIZATIONS.
- Tex. Insurance Code § 4201.058 · INSURERS.
- Tex. Insurance Code § 4201.101 · CERTIFICATE OF REGISTRATION REQUIRED.
- Tex. Insurance Code § 4201.102 · REQUIREMENTS FOR CERTIFICATION.
- Tex. Insurance Code § 4201.103 · CERTIFICATE RENEWAL.
- Tex. Insurance Code § 4201.104 · CERTIFICATION AND RENEWAL FORMS.
- Tex. Insurance Code § 4201.105 · FEES.
- Tex. Insurance Code § 4201.106 · CERTIFICATE NOT TRANSFERABLE.
- Tex. Insurance Code § 4201.107 · REPORTING MATERIAL CHANGES.
- Tex. Insurance Code § 4201.108 · LIST OF UTILIZATION REVIEW AGENTS.
- Tex. Insurance Code § 4201.151 · UTILIZATION REVIEW PLAN.
- Tex. Insurance Code § 4201.152 · UTILIZATION REVIEW UNDER DIRECTION OF PHYSICIAN.
- Tex. Insurance Code § 4201.153 · SCREENING CRITERIA AND REVIEW PROCEDURES.
- Tex. Insurance Code § 4201.154 · REVIEW AND INSPECTION OF SCREENING CRITERIA AND REVIEW PROCEDURES.
- Tex. Insurance Code § 4201.155 · LIMITATION ON NOTICE REQUIREMENTS AND REVIEW PROCEDURES.
- Tex. Insurance Code § 4201.156 · USE OF AUTOMATED DECISION SYSTEM FOR ADVERSE DETERMINATIONS.
- Tex. Insurance Code § 4201.201 · REPETITIVE CONTACTS WITH HEALTH CARE PROVIDER OR PATIENT; FREQUENCY OF REVIEWS.
- Tex. Insurance Code § 4201.202 · OBSERVING OR PARTICIPATING IN PATIENT'S CARE.
- Tex. Insurance Code § 4201.203 · MENTAL HEALTH THERAPY.
- Tex. Insurance Code § 4201.204 · COMPLAINT SYSTEM.
- Tex. Insurance Code § 4201.205 · DESIGNATED INITIAL CONTACT.
- Tex. Insurance Code § 4201.206 · OPPORTUNITY TO DISCUSS TREATMENT BEFORE ADVERSE DETERMINATION.
- Tex. Insurance Code § 4201.207 · CHARGES BY HEALTH CARE PROVIDER FOR PROVIDING MEDICAL INFORMATION.
- Tex. Insurance Code § 4201.251 · DELEGATION OF UTILIZATION REVIEW.
- Tex. Insurance Code § 4201.252 · PERSONNEL.
- Tex. Insurance Code § 4201.253 · PROHIBITED BASES FOR EMPLOYMENT, COMPENSATION, EVALUATIONS, OR PERFORMANCE STANDARDS.
- Tex. Insurance Code § 4201.301 · GENERAL DUTY TO NOTIFY.
- Tex. Insurance Code § 4201.302 · GENERAL TIME FOR NOTICE.
- Tex. Insurance Code § 4201.303 · ADVERSE DETERMINATION: CONTENTS OF NOTICE.
- Tex. Insurance Code § 4201.304 · TIME FOR NOTICE OF ADVERSE DETERMINATION.
- Tex. Insurance Code § 4201.305 · NOTICE OF ADVERSE DETERMINATION FOR RETROSPECTIVE UTILIZATION REVIEW.
- Tex. Insurance Code § 4201.351 · COMPLAINT AS APPEAL.
- Tex. Insurance Code § 4201.352 · WRITTEN DESCRIPTION OF APPEAL PROCEDURES.
- Tex. Insurance Code § 4201.353 · APPEAL PROCEDURES MUST BE REASONABLE.
- Tex. Insurance Code § 4201.354 · PERSONS OR ENTITIES WHO MAY APPEAL.
- Tex. Insurance Code § 4201.355 · ACKNOWLEDGMENT OF APPEAL.
- Tex. Insurance Code § 4201.356 · DECISION BY PHYSICIAN REQUIRED; SPECIALTY REVIEW.
- Tex. Insurance Code § 4201.357 · EXPEDITED APPEAL FOR DENIAL OF EMERGENCY CARE, CONTINUED HOSPITALIZATION, PRESCRIPTION DRUGS OR INTRAVENOUS INFUSIONS.
- Tex. Insurance Code § 4201.358 · RESPONSE LETTER TO INTERESTED PERSONS.
- Tex. Insurance Code § 4201.359 · NOTICE OF APPEAL.
- Tex. Insurance Code § 4201.360 · IMMEDIATE APPEAL TO INDEPENDENT REVIEW ORGANIZATION IN LIFE-THREATENING CIRCUMSTANCES.
- Tex. Insurance Code § 4201.3601 · IMMEDIATE APPEAL TO INDEPENDENT REVIEW ORGANIZATION FOR DENIAL OF PRESCRIPTION DRUGS OR INTRAVENOUS INFUSIONS.
- Tex. Insurance Code § 4201.401 · REVIEW BY INDEPENDENT REVIEW ORGANIZATION; COMPLIANCE WITH INDEPENDENT DETERMINATION.
- Tex. Insurance Code § 4201.402 · INFORMATION PROVIDED TO INDEPENDENT REVIEW ORGANIZATION.
- Tex. Insurance Code § 4201.403 · PAYMENT FOR INDEPENDENT REVIEW.
- Tex. Insurance Code § 4201.451 · DEFINITION.
- Tex. Insurance Code § 4201.452 · INAPPLICABILITY OF CERTAIN OTHER LAW.
- Tex. Insurance Code § 4201.453 · UTILIZATION REVIEW PLAN.
- Tex. Insurance Code § 4201.454 · UTILIZATION REVIEW UNDER DIRECTION OF PROVIDER OF SAME SPECIALTY.
- Tex. Insurance Code § 4201.455 · PERSONNEL.
- Tex. Insurance Code § 4201.456 · OPPORTUNITY TO DISCUSS TREATMENT BEFORE ADVERSE DETERMINATION.
- Tex. Insurance Code § 4201.457 · APPEAL DECISIONS.
- Tex. Insurance Code § 4201.551 · GENERAL CONFIDENTIALITY REQUIREMENT.
- Tex. Insurance Code § 4201.552 · CONSENT REQUIREMENTS.
- Tex. Insurance Code § 4201.553 · PROVIDING INFORMATION TO AFFILIATED ENTITIES.
- Tex. Insurance Code § 4201.554 · PROVIDING INFORMATION TO COMMISSIONER.
- Tex. Insurance Code § 4201.555 · ACCESS TO RECORDED PERSONAL INFORMATION.
- Tex. Insurance Code § 4201.556 · PUBLISHING INFORMATION IDENTIFIABLE TO HEALTH CARE PROVIDER.
- Tex. Insurance Code § 4201.557 · REQUIREMENT TO MAINTAIN DATA IN CONFIDENTIAL MANNER.
- Tex. Insurance Code § 4201.558 · DESTRUCTION OF CERTAIN CONFIDENTIAL DOCUMENTS.
- Tex. Insurance Code § 4201.601 · NOTICE OF SUSPECTED VIOLATION; COMPELLING PRODUCTION OF INFORMATION.
- Tex. Insurance Code § 4201.602 · ENFORCEMENT PROCEEDING.
- Tex. Insurance Code § 4201.603 · REMEDIES AND PENALTIES FOR VIOLATION.
- Tex. Insurance Code § 4201.651 · DEFINITIONS.
- Tex. Insurance Code § 4201.652 · APPLICABILITY OF SUBCHAPTER.
- Tex. Insurance Code § 4201.653 · EXEMPTION FROM PREAUTHORIZATION REQUIREMENTS FOR PHYSICIANS AND PROVIDERS PROVIDING CERTAIN HEALTH CARE SERVICES.
- Tex. Insurance Code § 4201.654 · DURATION OF PREAUTHORIZATION EXEMPTION.
- Tex. Insurance Code § 4201.655 · DENIAL OR RESCISSION OF PREAUTHORIZATION EXEMPTION.
- Tex. Insurance Code § 4201.656 · INDEPENDENT REVIEW OF EXEMPTION DETERMINATION.
- Tex. Insurance Code § 4201.657 · EFFECT OF APPEAL OR INDEPENDENT REVIEW DETERMINATION.
- Tex. Insurance Code § 4201.658 · ELIGIBILITY FOR PREAUTHORIZATION EXEMPTION FOLLOWING FINALIZED EXEMPTION RESCISSION OR DENIAL.
- Tex. Insurance Code § 4201.659 · EFFECT OF PREAUTHORIZATION EXEMPTION.
- Tex. Insurance Code § 4201.660 · REPORT.
- Tex. Insurance Code § 4202.001 · DEFINITION.
- Tex. Insurance Code § 4202.002 · ADOPTION OF STANDARDS FOR INDEPENDENT REVIEW ORGANIZATIONS.
- Tex. Insurance Code § 4202.003 · REQUIREMENTS REGARDING TIMELINESS OF DETERMINATION.
- Tex. Insurance Code § 4202.004 · CERTIFICATION.
- Tex. Insurance Code § 4202.005 · PERIODIC REPORTING OF INFORMATION; BIENNIAL DESIGNATION; UPDATES AND INSPECTION.
- Tex. Insurance Code § 4202.006 · PAYORS FEES.
- Tex. Insurance Code § 4202.007 · OVERSIGHT.
- Tex. Insurance Code § 4202.008 · PROHIBITED OWNERSHIP OR CONTROL OF INDEPENDENT REVIEW ORGANIZATION.
- Tex. Insurance Code § 4202.009 · CONFIDENTIAL INFORMATION.
- Tex. Insurance Code § 4202.010 · IMMUNITY FROM LIABILITY.
- Tex. Insurance Code § 4202.012 · REFERRAL.
- Tex. Insurance Code § 4202.013 · PRIMARY OFFICE IN THIS STATE REQUIRED.
- Tex. Insurance Code § 4202.014 · PREEMPTION.
- Tex. Insurance Code § 4203.001 · DEFINITION.