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Current as of January 01, 2024 | Updated by Findlaw Staff
(a) A utilization review agent shall:
(1) have appropriate personnel reasonably available, by toll-free telephone at least 40 hours per week during normal business hours in this state, to discuss patients' care and allow response to telephone review requests;
(2) have a telephone system capable, during hours other than normal business hours, of accepting or recording incoming telephone calls or of providing instructions to a caller; and
(3) respond to a call made during hours other than normal business hours not later than the second working day after the later of:
(A) the date the call was received; or
(B) the date the details necessary to respond have been received from the caller.
(b) A utilization review agent must provide to the commissioner a written description of the procedures to be used when responding with respect to poststabilization care subsequent to emergency treatment as requested by a treating physician or other health care provider.
Cite this article: FindLaw.com - Texas Insurance Code - INS § 4201.004. Telephone Access - last updated January 01, 2024 | https://codes.findlaw.com/tx/insurance-code/ins-sect-4201-004/
FindLaw Codes may not reflect the most recent version of the law in your jurisdiction. Please verify the status of the code you are researching with the state legislature before relying on it for your legal needs.
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