Texas Insurance Code 1301.1353 – Remedy for Noncompliance
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(a) In addition to any other penalty or remedy provided by law, an insurer that uses a preauthorization process for medical care or health care services that violates this subchapter with respect to a required publication, notice, or response regarding its preauthorization requirements, including by failing to comply with any applicable deadline for the publication, notice, or response, must provide an expedited appeal under § 4201.357 for any medical care or health care service affected by the violation.
(b) The provisions of this section may not be waived, voided, or nullified by contract.
Terms Used In Texas Insurance Code 1301.1353
- 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.