Tex. Ins. Code § 1305.353. Notice of Certain Utilization Review Determinations; Preauthorization Requirements: Workers’ Compensation Health Care Network Act – Texas

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

The entity performing utilization review shall notify an employee or an employee’s representative of the determination. An adverse determination must include the principle reasons for the determination, the clinical basis for the determination and a description of the screening criteria, among other things.

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