Tex. Ins. Code § 4201.358 · Subchapter H. APPEAL OF ADVERSE DETERMINATION

RESPONSE LETTER TO INTERESTED PERSONS.

Verbatim from the official edition

Text — Current through the 89th 2nd Called Legislative Session, 2025

The procedures for appealing an adverse determination must provide that, after the utilization review agent has sought review of the appeal, the agent shall issue a response letter explaining the resolution of the appeal to:

(1) the patient or a person acting on the patient's behalf; and

(2) the patient's physician or other health care provider.

Notes and commentary — not statutory text

History

Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.

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 928ea7471d2416c1264e028ceb90bdb620b9bd93bb11d50fe506a0d0449d7340
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

Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.