Sec. 4201.051. PERSONS PROVIDING INFORMATION ABOUT SCOPE OF COVERAGE OR BENEFITS. This chapter does not apply to a person who:
(1) provides information to an enrollee about scope of coverage or benefits provided under a health insurance policy or health benefit plan; and
(2) does not determine whether a particular health care service provided or to be provided to an enrollee is:
(A) medically necessary or appropriate; or
(B) experimental or investigational.
Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.
Amended by:
Acts 2009, 81st Leg., R.S., Ch. 1330 (H.B. 4290), Sec. 8, eff. September 1, 2009.
Structure Texas Statutes
Title 14 - Utilization Review and Independent Review
Chapter 4201 - Utilization Review Agents
Subchapter B. Applicability of Chapter
Section 4201.051. Persons Providing Information About Scope of Coverage or Benefits
Section 4201.052. Certain Contracts With Federal Government
Section 4201.053. Medicaid and Other State Health or Mental Health Programs
Section 4201.054. Workers' Compensation Benefits
Section 4201.055. Health Care Service Provided Under Automobile Insurance Policy
Section 4201.056. Employee Welfare Benefit Plans