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Terms Used In Texas Insurance Code 4201.601

  • 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

If the commissioner believes that a person or entity conducting utilization review is in violation of this chapter or applicable rules, the commissioner:
(1) shall notify the utilization review agent, health maintenance organization, or insurer of the alleged violation; and
(2) may compel the production of documents or other information as necessary to determine whether a violation has occurred.