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Texas Administrative Code (Last Updated: March 27,2024) |
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TITLE 28. INSURANCE |
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PART 1. TEXAS DEPARTMENT OF INSURANCE |
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CHAPTER 19. LICENSING AND REGULATION OF INSURANCE PROFESSIONALS |
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SUBCHAPTER U. UTILIZATION REVIEWS FOR HEALTH CARE PROVIDED UNDER WORKERS' COMPENSATION INSURANCE COVERAGE |
SUBCHAPTER U. UTILIZATION REVIEWS FOR HEALTH CARE PROVIDED UNDER WORKERS' COMPENSATION INSURANCE COVERAGE
| § 19.2001. General Provisions |
| § 19.2002. Applicability |
| § 19.2003. Definitions |
| § 19.2004. Certificate or Registration of URAs |
| § 19.2005. General Standards of Utilization Review |
| § 19.2006. Requirements and Prohibitions Relating to Personnel |
| § 19.2007. URA Contact with and Receipt of Information from Health Care Providers |
| § 19.2008. On-Site Review by a URA |
| § 19.2009. Notice of Determinations Made in Utilization Review |
| § 19.2010. Requirements Prior to Issuing Adverse Determination |
| § 19.2011. Written Procedures for Appeal of Adverse Determinations |
| § 19.2012. URA's Telephone Access and Procedures for Certain Drug Requests and Post-Stabilization Care |
| § 19.2013. Confidentiality |
| § 19.2014. Regulatory Requirements Subsequent to Certification or Registration |
| § 19.2015. Administrative Violations |
| § 19.2016. Specialty URA |
| § 19.2017. Independent Review of Adverse Determinations |