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Tex. Insurance Code § 4202.012

REFERRAL

Texas · Texas Insurance Code · Status: effective

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Tex. Insurance Code § 4202.012, REFERRAL, Texas, version 1 as recorded 2026-07-09, yourstate.us, https://yourstate.us/provision/685999
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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.