Tex. Ins. Code § 4201.204 · Subchapter E. UTILIZATION REVIEW: RELATIONS WITH PATIENTS AND HEALTH CARE PROVIDERS
COMPLAINT SYSTEM.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) A utilization review agent shall establish and maintain a complaint system that provides reasonable procedures for the resolution of oral or written complaints initiated by enrollees, patients, or health care providers concerning the utilization review.
(b) The complaint procedure must include a requirement that the utilization review agent provide a written response to the complainant within 30 days.
(c) Repealed by Acts 2015, 84th Leg., R.S., Ch. 42 , Sec. 3.01(7), eff. September 1, 2015.
(d) A utilization review agent shall maintain a record of each complaint until the third anniversary of the date the complainant filed the complaint.
Notes and commentary — not statutory text
History
Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.
Amended by:
Acts 2015, 84th Leg., R.S., Ch. 42 (S.B. 784), Sec. 3.01(7), eff. September 1, 2015.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.4201.htm
- Text hash
- sha256 fd7d5ed9a9d2efd51a2a4b3a4a717d7b40cbebbce28e78c2fba9a9cdda4cd130
- Composed by
- compose_tx.py 2026-10-05: the Legislative Council's chapter files read in document order; verify_tx.py's independent reading (lxml DOM walk) agrees character for character
Cited by 1 provision
Provisions in this library whose text cites Tex. Ins. Code § 4201.204. Each shows the citation as that text prints it.
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