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TITLE 28INSURANCE
PART 1TEXAS DEPARTMENT OF INSURANCE
CHAPTER 12INDEPENDENT REVIEW ORGANIZATIONS
SUBCHAPTER EFEES AND PAYMENT
RULE §12.402Classification of Specialty

Fees for independent review will be based on a two-tiered structure of specialty classifications as follows:

  (1) Tier one fees will be for independent review of medical or surgical care rendered by a doctor of medicine or doctor of osteopathy.

  (2) Tier two fees will be for independent review of health care services rendered in the specialties of podiatry, optometry, dental, audiology, speech-language pathology, master social work, dietetics, professional counseling, psychology, occupational therapy, physical therapy, marriage and family therapy, chiropractic, and chemical dependency counseling, and any of their subspecialties.


Source Note: The provisions of this §12.402 adopted to be effective November 26, 1997, 22 TexReg 11363; amended to be effective December 26, 2010, 35 TexReg 11281; amended to be effective July 7, 2015, 40 TexReg 2538

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