Sec. 4202.012. REFERRAL. The commissioner by rule shall require referral by random assignment of adverse determinations under Subchapter I, Chapter 4201, to independent review organizations. On referral of a determination, the commissioner shall notify:
(1) the utilization review agent;
(2) the payor;
(3) the independent review organization;
(4) the patient, as defined by Section 4201.002, or the patient's representative; and
(5) the provider of record as defined by Section 4201.002.
Added by Acts 2013, 83rd Leg., R.S., Ch. 1024 (H.B. 2645), Sec. 5, eff. September 1, 2013.
Structure Texas Statutes
Title 14 - Utilization Review and Independent Review
Chapter 4202 - Independent Review Organizations
Section 4202.002. Adoption of Standards for Independent Review Organizations
Section 4202.003. Requirements Regarding Timeliness of Determination
Section 4202.004. Certification
Section 4202.005. Periodic Reporting of Information; Biennial Designation; Updates and Inspection
Section 4202.008. Prohibited Ownership or Control of Independent Review Organization
Section 4202.009. Confidential Information
Section 4202.010. Immunity From Liability