Texas Insurance Code 4201.001 – Purpose
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The purpose of this chapter is to:
(1) promote the delivery of quality health care in a cost-effective manner;
(2) ensure that a utilization review agent adheres to reasonable standards for conducting utilization review;
(3) foster greater coordination and cooperation between a health care provider and utilization review agent;
(4) improve communications and knowledge of benefits among all parties concerned before an expense is incurred; and
(5) ensure that a utilization review agent maintains the confidentiality of medical records in accordance with applicable law.