{"data":{"id":"us-tx/tex.-insurance-code-843.259","jurisdiction":"us-tx","citation":"Tex. Insurance Code § 843.259","heading":"NOTICE OF DECISION ON APPEAL.","body":"(a) A health maintenance organization shall include in a notice of the final decision on an appeal a statement of the specific medical determination, clinical basis, and contractual criteria used to reach the final decision.\n(b) The notice must include the toll-free telephone number and address of the department.\nAdded by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.","path":["INSURANCE CODE","TITLE 6. ORGANIZATION OF INSURERS AND RELATED ENTITIES","SUBTITLE C. LIFE, HEALTH, AND ACCIDENT INSURERS AND RELATED ENTITIES","CHAPTER 843. HEALTH MAINTENANCE ORGANIZATIONS","SUBCHAPTER G. DISPUTE RESOLUTION"],"source_url":"https://statutes.capitol.texas.gov/Docs/IN/htm/IN.843.htm#843.259","current_through":"89th 2nd Called Legislative Session, 2025","vintage":"","retrieved_at":"2026-08-27T01:47:21Z","sha256":"0bcce2643dcee7ebe658551546dbeb9cf121d3f875ce8deca49be4b19779b356","source_id":"us-tx","stale":false,"prev":"us-tx/tex.-insurance-code-843.258","next":"us-tx/tex.-insurance-code-843.260"},"notice":"GroundRules: Original legal text. Not legal advice."}