Tex. Insurance Code § 4202.012: REFERRAL.
Where this section sits in the code
- INSURANCE CODE
- TITLE 14. UTILIZATION REVIEW AND INDEPENDENT REVIEW
- CHAPTER 4202. INDEPENDENT REVIEW ORGANIZATIONS
The commissioner by rule shall require referral by random assignment of adverse determinations under Subchapter I, Chapter 4201, to independent review organizations. On referral of a determination, the commissioner shall notify:
(1) the utilization review agent;
(2) the payor;
(3) the independent review organization;
(4) the patient, as defined by Section 4201.002, or the patient's representative; and
(5) the provider of record as defined by Section 4201.002.
Added by Acts 2013, 83rd Leg., R.S., Ch. 1024 (H.B. 2645), Sec. 5, eff. September 1, 2013.
Collected 2026-08-27T01:47:21Z. Source file · JSON