Code: 

Insurance Code

Title: 

Title 14. Utilization Review and Independent Review

Section: 

4201.207

Name: 

Charges by Health Care Provider for Providing Medical Information

Eff. Date: 

September 1, 2007
§4201.207
Charges by Health Care Provider for Providing Medical Information

(a) Unless precluded or modified by contract, a utilization review agent shall reimburse a health care provider for the reasonable costs of providing medical information in writing, including the costs of copying and transmitting requested patient records or other documents.

(b) A health care provider’s charges for providing medical information to a utilization review agent may not:

(1) exceed the cost of copying records regarding a workers’ compensation claim as set by rules adopted by the commissioner of workers’ compensation; or

(2) include any costs otherwise recouped as part of the charges for health care.

Added by Acts 2005, 79th Leg., ch. 727, § 4, eff. April 1, 2007. Amended by Acts 2007, 80th Leg., ch. 134, § 8(a), eff. Sept. 1, 2007; Acts 2007, 80th Leg., ch. 730, § 3B.076(a), eff. Sept. 1, 2007; Acts 2007, 80th Leg., ch. 921, § 9.076(a), eff. Sept. 1, 2007.