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

Tex. Insurance Code § 4201.358: RESPONSE LETTER TO INTERESTED PERSONS.

Where this section sits in the code

INSURANCE CODE
TITLE 14. UTILIZATION REVIEW AND INDEPENDENT REVIEW
CHAPTER 4201. UTILIZATION REVIEW AGENTS
SUBCHAPTER H. APPEAL OF ADVERSE DETERMINATION

The procedures for appealing an adverse determination must provide that, after the utilization review agent has sought review of the appeal, the agent shall issue a response letter explaining the resolution of the appeal to:

(1) the patient or a person acting on the patient's behalf; and

(2) the patient'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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