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Texas · Through 89th 2nd Called Legislative Session, 2025

Tex. Insurance Code § 4201.354: PERSONS OR ENTITIES WHO MAY APPEAL.

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Where this section sits in the code
  1. INSURANCE CODE
  2. TITLE 14. UTILIZATION REVIEW AND INDEPENDENT REVIEW
  3. CHAPTER 4201. UTILIZATION REVIEW AGENTS
  4. SUBCHAPTER H. APPEAL OF ADVERSE DETERMINATION

The procedures for appealing an adverse determination must provide that the adverse determination may be appealed orally or in writing by:

(1) an enrollee;

(2) a person acting on the enrollee's behalf; or

(3) the enrollee's physician or other health care provider.

Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.

Collected 2026-08-27T01:47:21Z. Source file · JSON

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