Texas Statutes (Last Updated: January 4, 2014) |
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 |
Sec. 843.259. NOTICE OF DECISION ON APPEAL
Latest version.
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(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.
(b) The notice must include the toll-free telephone number and address of the department.
Added by Acts 2001, 77th Leg., ch. 1419, Sec. 1, eff. June 1, 2003.