Texas Insurance Code - Not Codified - Article 21.58B. Prohibition Of Consultant Activities
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Art. 21.58B. PROHIBITION OF CONSULTANT ACTIVITIES.
Article repealed effective April 1, 2007
A member or employee of the Board of Chiropractic Examiners
shall be prohibited from acting as a consultant or performing any
consultant activities for any insurance company or business,
individual or utilization review agent that audits chiropractic
claims, charges or services. For the purposes of this section, the
term "consultant" means a person who: (1) for compensation and at
the request of an insurance company, business, individual or
utilization review agent, reviews, assesses or evaluates any claim,
charge, treatment or service of another chiropractor for the
purposes of determining if said claims, charges, treatment or
services are medically necessary, reasonable, appropriate or are
recommended for payment or non-payment; or (2) for compensation
and at the request of an insurance company, business, individual or
utilization review agent, advises or recommends to any insurance
company or utilization review agent, guidelines regarding
chiropractic charges, treatment or services.
Added by Acts 1991, 72nd Leg., ch. 242, Sec. 11.03(a), eff. Sept. 1,
1991.
Article: 21.49B 21.49C 21.50 21.52B 21.53X 21.54 21.58A 21.58B 21.58C 21.61 21.70 21.72 21.77 21.79 21.79E
Last modified: August 11, 2007
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