Code: 

Insurance Code

Title: 

Title 14. Utilization Review and Independent Review

Section: 

4201.360

Name: 

Immediate Appeal to Independent Review Organization in Life–Threatening Circumstances

Eff. Date: 

April 1, 2007
§4201.360
Immediate Appeal to Independent Review Organization in Life–Threatening Circumstances

Notwithstanding any other law, in a circumstance involving an enrollee’s life-threatening condition, the enrollee is:

(1) entitled to an immediate appeal to an independent review organization as provided by Subchapter I; and

(2) not required to comply with procedures for an internal review of the utilization review agent’s adverse determination.

Added by Acts 2005, 79th Leg., ch. 727, § 4, eff. April 1, 2007.