{"data":{"id":"us-tx/tex.-insurance-code-4203.001","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 4203.001","heading":"DEFINITION.","body":"In this chapter, \"consultant\" means a person who, for compensation and at the request of an insurer, business, individual, or utilization review agent:\n(1) reviews, assesses, or evaluates a claim, charge, or service of another chiropractor to determine whether the claim, charge, or service is:\n(A) medically necessary, reasonable, or appropriate; or\n(B) recommended for payment or nonpayment; or\n(2) advises an insurer or utilization review agent regarding a chiropractic charge or service or recommends to that insurer or agent guidelines for a chiropractic charge or service.\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 4203. PROHIBITED CONSULTANT ACTIVITIES"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.4203.htm#4203.001","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"05112bae02419e8028819331bc131372a6685565470700771f7c9849ae3c2aca","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-4202.014","next":"us-tx/tex.-insurance-code-4203.002"},"notice":"GroundRules: Original legal text. Not legal advice."}