REFERRAL.
Tex. INS Code § 4202.012.
in effectThe 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.
