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Terms Used In Texas Insurance Code 4201.301

  • Person: includes corporation, organization, government or governmental subdivision or agency, business trust, estate, trust, partnership, association, and any other legal entity. See Texas Government Code 311.005

A utilization review agent shall provide notice of a determination made in a utilization review to:
(1) the enrollee’s provider of record; and
(2) the enrollee or a person acting on the enrollee’s behalf.