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2025 Texas Statutes
Insurance Code
Title 14 - Utilization Review and Independent Review
Chapter 4201 - Utilization Review Agents
Subchapter H. Appeal of Adverse Determination
- Section 4201.351. Complaint as Appeal
- Section 4201.352. Written Description of Appeal Procedures
- Section 4201.353. Appeal Procedures Must Be Reasonable
- Section 4201.354. Persons or Entities Who May Appeal
- Section 4201.355. Acknowledgment of Appeal
- Section 4201.356. Decision by Physician Required; Specialty Review
- Section 4201.357. Expedited Appeal for Denial of Emergency Care, Continued Hospitalization, Prescription Drugs or Intravenous Infusions
- Section 4201.358. Response Letter to Interested Persons
- Section 4201.359. Notice of Appeal
- Section 4201.360. Immediate Appeal to Independent Review Organization in Life-Threatening Circumstances
- Section 4201.3601. Immediate Appeal to Independent Review Organization for Denial of Prescription Drugs or Intravenous Infusions
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