Sec. 4201.205. DESIGNATED INITIAL CONTACT. (a) A health care provider may designate one or more individuals as the initial contact or contacts for a utilization review agent seeking routine information or data.
(b) A designation made under this section may not preclude a utilization review agent or medical advisor from contacting a health care provider or the provider's employees who are not designated under this section under circumstances in which:
(1) a review might otherwise be unreasonably delayed; or
(2) the designated individual is unable to provide the necessary data or information that the agent requests.
Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.
Structure Texas Statutes
Title 14 - Utilization Review and Independent Review
Chapter 4201 - Utilization Review Agents
Subchapter E. Utilization Review: Relations With Patients and Health Care Providers
Section 4201.201. Repetitive Contacts With Health Care Provider or Patient; Frequency of Reviews
Section 4201.202. Observing or Participating in Patient's Care
Section 4201.203. Mental Health Therapy
Section 4201.204. Complaint System
Section 4201.205. Designated Initial Contact
Section 4201.206. Opportunity to Discuss Treatment Before Adverse Determination
Section 4201.207. Charges by Health Care Provider for Providing Medical Information