Tex. Ins. Code § 1305.354. Reconsideration of Adverse Determination: Workers’ Compensation Network Act – Texas

Status: Enacted
Year Enacted: 2005
File: Download

A utilization review agent for a workers’ compensation determination shall maintain a written procedure of the process for making an adverse determination. The procedure must state that reconsideration must be provided by a provider other than the one who made the original determination and states the time limits for reconsideration, among other things.

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