Insurance Code § 4201.457
A specialty utilization review agent must ensure appeal decisions on adverse determinations are made by a physician or other health care provider with the same or a similar specialty as the provider who would normally manage the condition, procedure, or treatment.
- Jurisdiction
- United States — Texas
- Instrument
- Code
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- Language
- en
- Official source
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appeals utilization review
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Insurance Code § 4201.457
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