{"data":{"id":"us-tx/tex.-insurance-code-4201.004","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 4201.004","heading":"TELEPHONE ACCESS.","body":"(a) A utilization review agent shall:\n(1) have appropriate personnel reasonably available, by toll-free telephone at least 40 hours per week during normal business hours in this state, to discuss patients' care and allow response to telephone review requests;\n(2) have a telephone system capable, during hours other than normal business hours, of accepting or recording incoming telephone calls or of providing instructions to a caller; and\n(3) respond to a call made during hours other than normal business hours not later than the second working day after the later of:\n(A) the date the call was received; or\n(B) the date the details necessary to respond have been received from the caller.\n(b) A utilization review agent must provide to the commissioner a written description of the procedures to be used when responding with respect to poststabilization care subsequent to emergency treatment as requested by a treating physician or other health care provider.\nAdded by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.","path":["INSURANCE CODE","TITLE 14. UTILIZATION REVIEW AND INDEPENDENT REVIEW","CHAPTER 4201. UTILIZATION REVIEW AGENTS","SUBCHAPTER A. GENERAL PROVISIONS"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.4201.htm#4201.004","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"1a48893a8bfd0d759f844691b6e8898422073e17377b291bdecf445c715b58ee","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-4201.003","next":"us-tx/tex.-insurance-code-4201.051"},"notice":"GroundRules: Original legal text. Not legal advice."}