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Texas Administrative Code

TITLE 28 INSURANCE
PART 1 TEXAS DEPARTMENT OF INSURANCE
CHAPTER 19 AGENTS' LICENSING
SUBCHAPTER U UTILIZATION REVIEWS FOR HEALTH CARE PROVIDED UNDER WORKERS' COMPENSATION INSURANCE COVERAGE

Rules

§19.2001 General Provisions
§19.2002 Applicability
§19.2003 Definitions
§19.2004 Certification 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

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