Sec. 4201.207. CHARGES BY HEALTH CARE PROVIDER FOR PROVIDING MEDICAL INFORMATION. (a) Unless precluded or modified by contract, a utilization review agent shall reimburse a health care provider for the reasonable costs of providing medical information in writing, including the costs of copying and transmitting requested patient records or other documents.
(b) A health care provider's charges for providing medical information to a utilization review agent may not:
(1) exceed the cost of copying records regarding a workers' compensation claim as set by rules adopted by the commissioner of workers' compensation; or
(2) include any costs otherwise recouped as part of the charges for health care.
Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.
Amended by:
Acts 2007, 80th Leg., R.S., Ch. 134 (H.B. 1006), Sec. 8(a), eff. September 1, 2007.
Acts 2007, 80th Leg., R.S., Ch. 730 (H.B. 2636), Sec. 3B.076(a), eff. September 1, 2007.
Acts 2007, 80th Leg., R.S., Ch. 921 (H.B. 3167), Sec. 9.076(a), eff. September 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