Code: 

Insurance Code

Title: 

Title 14. Utilization Review and Independent Review

Section: 

4201.201

Name: 

Repetitive Contacts with Health Care Provider or Patient;  Frequency of Reviews

Eff. Date: 

April 1, 2007
§4201.201
Repetitive Contacts with Health Care Provider or Patient;  Frequency of Reviews

A utilization review agent:

(1) may not engage in unnecessary or unreasonable repetitive contacts with a health care provider or patient; and

(2) shall base the frequency of contacts or reviews on the severity or complexity of the patient’s condition or on necessary treatment and discharge planning activity.

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