Texas Insurance Code 4201.205 – Designated Initial Contact
Current as of: 2024 | Check for updates
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(a) A health care provider may designate one or more individuals as the initial contact or contacts for a utilization review agent seeking routine information or data.
(b) A designation made under this section may not preclude a utilization review agent or medical advisor from contacting a health care provider or the provider’s employees who are not designated under this section under circumstances in which:
(1) a review might otherwise be unreasonably delayed; or
(2) the designated individual is unable to provide the necessary data or information that the agent requests.