Texas Statutes (Last Updated: January 4, 2014) |
INSURANCE CODE |
Title 14. UTILIZATION REVIEW AND INDEPENDENT REVIEW |
Chapter 4201. UTILIZATION REVIEW AGENTS |
Subchapter H. APPEAL OF ADVERSE DETERMINATION |
§ 4201.351. COMPLAINT AS APPEAL |
§ 4201.352. WRITTEN DESCRIPTION OF APPEAL PROCEDURES |
§ 4201.353. APPEAL PROCEDURES MUST BE REASONABLE |
§ 4201.354. PERSONS OR ENTITIES WHO MAY APPEAL |
§ 4201.355. ACKNOWLEDGMENT OF APPEAL |
§ 4201.356. DECISION BY PHYSICIAN REQUIRED; SPECIALTY REVIEW |
§ 4201.357. EXPEDITED APPEAL FOR DENIAL OF EMERGENCY CARE OR CONTINUED HOSPITALIZATION |
§ 4201.358. RESPONSE LETTER TO INTERESTED PERSONS |
§ 4201.359. NOTICE OF APPEAL |
§ 4201.360. IMMEDIATE APPEAL TO INDEPENDENT REVIEW ORGANIZATION IN LIFE-THREATENING CIRCUMSTANCES |