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

Tex. Insurance Code § 4202.012: REFERRAL.

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Where this section sits in the code
  1. INSURANCE CODE
  2. TITLE 14. UTILIZATION REVIEW AND INDEPENDENT REVIEW
  3. 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

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