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Tex. Ins. Code § 4201.358

RESPONSE LETTER TO INTERESTED PERSONS

Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff

The procedures for appealing an adverse determination must provide that, after the utilization review agent has sought review of the appeal, the agent shall issue a response letter explaining the resolution of the appeal to:

(1) the patient or a person acting on the patient's behalf; and

(2) the patient's physician or other health care provider.

Official source: Texas Constitution and Statutes. Reproduced from public-domain Texas statutes; confirm against the official source for the current text. Not legal advice.