{"data":{"id":"us-tx/tex.-insurance-code-4201.354","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 4201.354","heading":"PERSONS OR ENTITIES WHO MAY APPEAL.","body":"The procedures for appealing an adverse determination must provide that the adverse determination may be appealed orally or in writing by:\n(1) an enrollee;\n(2) a person acting on the enrollee's behalf; or\n(3) the enrollee's 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 H. APPEAL OF ADVERSE DETERMINATION"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.4201.htm#4201.354","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"4d476fc4d29c96c3afdba42bf02a920e527d72cafe44d42ff90f858c46345f5b","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-4201.353","next":"us-tx/tex.-insurance-code-4201.355"},"notice":"GroundRules: Original legal text. Not legal advice."}