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Texas Statutes
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Insurance Code
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Title 14. Utilization Review and Independent Review
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Chapter 4201. Utilization Review Agents
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Subchapter H. Appeal of Adverse Determination
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Sec. 4201.351. Complaint As Appeal.
Sec. 4201.352. Written Description of Appeal Procedures.
Sec. 4201.353. Appeal Procedures Must Be Reasonable.
Sec. 4201.354. Persons Or Entities Who May Appeal.
Sec. 4201.355. Acknowledgment of Appeal.
Sec. 4201.356. Decision by Physician Required; Specialty Review.
Sec. 4201.357. Expedited Appeal for Denial of Emergency Care, Continued Hospitalization, Prescription Drugs Or Intravenous Infusions.
Sec. 4201.358. Response Letter to Interested Persons.
Sec. 4201.359. Notice of Appeal.
Sec. 4201.360. Immediate Appeal to Independent Review Organization in Life-threatening Circumstances.
Sec. 4201.3601. Immediate Appeal to Independent Review Organization for Denial of Prescription Drugs Or Intravenous Infusions.
