§ 532.0401 Review of Prior Authorization and Utilization Review Processes
§ 532.0402 Accessibility of Information Regarding Prior Authorization Requirements
§ 532.0403 Notice Requirements Regarding Coverage or Prior Authorization Denial and Incomplete Requests
§ 532.0404 External Medical Review

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Terms Used In Texas Government Code Chapter 532 > Subchapter I - Utilization Review, Prior Authorization, and Coverage Processes and Determinations

  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Contract: A legal written agreement that becomes binding when signed.
  • Evidence: Information presented in testimony or in documents that is used to persuade the fact finder (judge or jury) to decide the case for one side or the other.
  • Guardian: A person legally empowered and charged with the duty of taking care of and managing the property of another person who because of age, intellect, or health, is incapable of managing his (her) own affairs.
  • Justice: when applied to a magistrate, means justice of the peace. See Texas Government Code 312.011
  • Rule: includes regulation. See Texas Government Code 311.005
  • Trial: A hearing that takes place when the defendant pleads "not guilty" and witnesses are required to come to court to give evidence.
  • United States: includes a department, bureau, or other agency of the United States of America. See Texas Government Code 311.005
  • Week: means seven consecutive days. See Texas Government Code 311.005
  • Written: includes any representation of words, letters, symbols, or figures. See Texas Government Code 311.005
  • Year: means 12 consecutive months. See Texas Government Code 311.005