Sec. 1305.402. COMPLAINT INITIATION AND INITIAL RESPONSE; DEADLINES FOR RESPONSE AND RESOLUTION. (a) If a complainant notifies a network of a complaint, the network, not later than the seventh calendar day after the date the network receives the complaint, shall respond to the complainant, acknowledging the date of receipt of the complaint and providing a description of the network's complaint procedures and deadlines.
(b) The network shall investigate and resolve a complaint not later than the 30th calendar day after the date the network receives the complaint.
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