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Texas Administrative Code
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Title 28 Insurance
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Part 1 Texas Department of Insurance
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Chapter 19 Licensing and Regulation of Insurance Professionals
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Subchapter R Utilization Reviews for Health Care Provided Under A Health Benefit Plan Or Health Insurance Policy
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Division 1 Utilization Reviews
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Rule 19.1701 General Provisions
Rule 19.1702 Applicability
Rule 19.1703 Definitions
Rule 19.1704 Certification Or Registration of Uras
Rule 19.1705 General Standards of Utilization Review
Rule 19.1706 Requirements and Prohibitions Relating to Personnel
Rule 19.1707 Ura Contact with and Receipt of Information from Health Care Providers
Rule 19.1708 On-site Review by A Ura
Rule 19.1709 Notice of Determinations Made in Utilization Review
Rule 19.1710 Requirements Prior to Issuing An Adverse Determination
Rule 19.1711 Written Procedures for Appeal of Adverse Determinations
Rule 19.1712 Ura's Telephone Access
Rule 19.1713 Confidentiality
Rule 19.1714 Regulatory Requirements Subsequent to Certification Or Registration
Rule 19.1715 Administrative Violations
Rule 19.1716 Specialty Ura
Rule 19.1717 Independent Review of Adverse Determinations
Rule 19.1718 Preauthorization for Health Maintenance Organizations and Preferred Provider Benefit Plans
Rule 19.1719 Verification for Health Maintenance Organizations and Preferred Provider Benefit Plans
