Code: 

Insurance Code

Title: 

Title 14. Utilization Review and Independent Review

Section: 

4201.205

Name: 

Designated Initial Contact

Eff. Date: 

April 1, 2007
§4201.205
Designated Initial Contact

(a) A health care provider may designate one or more individuals as the initial contact or contacts for a utilization review agent seeking routine information or data.

(b) A designation made under this section may not preclude a utilization review agent or medical advisor from contacting a health care provider or the provider’s employees who are not designated under this section under circumstances in which:

(1) a review might otherwise be unreasonably delayed; or

(2) the designated individual is unable to provide the necessary data or information that the agent requests.

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