Tex. Ins. Code §§ 4201.451 through 4201.457: Specialty Utilization Review Agents – Texas

Status: Enacted
Year Enacted: 2005
Year Amended: 2009
File: Download

A specialty utilization review agent’s utilization review plan must be reviewed by the appropriate health care professional who is of the appropriate specialty. A specialty utilization review agent shall conduct the review under the direction of a provider of the same specialty as the agent who is licensed or authorized to provide that specialty.

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