Sec. 4202.012. REFERRAL. The commissioner by rule shall require referral by random assignment of adverse determinations under Subchapter I, Chapter 4201, to independent review organizations. On referral of a determination, the commissioner shall notify:
(1) the utilization review agent;
(2) the payor;
(3) the independent review organization;
(4) the patient, as defined by Section 4201.002, or the patient's representative; and
(5) the provider of record as defined by Section 4201.002.
Added by Acts 2013, 83rd Leg., R.S., Ch. 1024 (H.B. 2645), Sec. 5, eff. September 1, 2013.
Section: Previous 4202.001 4202.002 4202.003 4202.004 4202.005 4202.006 4202.007 4202.008 4202.009 4202.010 4202.011 4202.012 4202.013 NextLast modified: September 28, 2016