Sec. 1305.401. COMPLAINT SYSTEM REQUIRED. (a) Each network shall implement and maintain a complaint system that provides reasonable procedures to resolve an oral or written complaint.
(b) The network may require a complainant to file the complaint not later than the 90th day after the date of the event or occurrence that is the basis for the complaint.
(c) The complaint system must include a process for the notice and appeal of a complaint.
(d) The commissioner may adopt rules as necessary to implement this section.
Added by Acts 2005, 79th Leg., Ch. 265 (H.B. 7), Sec. 4.02, eff. September 1, 2005.
Structure Texas Statutes
Title 8 - Health Insurance and Other Health Coverages
Chapter 1305 - Workers' Compensation Health Care Networks
Subchapter I. Complaint Resolution
Section 1305.401. Complaint System Required
Section 1305.402. Complaint Initiation and Initial Response; Deadlines for Response and Resolution
Section 1305.403. Record of Complaints
Section 1305.404. Retaliatory Action Prohibited
Section 1305.405. Posting of Information on Complaint Process Required