IMMEDIATE APPEAL TO INDEPENDENT REVIEW ORGANIZATION FOR DENIAL OF PRESCRIPTION DRUGS OR INTRAVENOUS INFUSIONS.
Tex. INS Code § 4201.3601.
in effectNotwithstanding any other law, in a circumstance involving the provision of prescription drugs or intravenous infusions for which the patient is receiving benefits under the health insurance policy, the enrollee is:
(1) entitled to an immediate appeal to an independent review organization as provided by Subchapter I; and
(2) not required to comply with procedures for an internal review of the utilization review agent's adverse determination.
Added by Acts 2015, 84th Leg., R.S., Ch. 1037 (H.B. 1621 ), Sec. 7, eff. September 1, 2015.
SUBCHAPTER I. INDEPENDENT REVIEW OF ADVERSE DETERMINATION