Code: 

Insurance Code

Title: 

Title 14. Utilization Review and Independent Review

Section: 

4201.001

Name: 

Purpose

Eff. Date: 

April 1, 2007
§4201.001
Purpose

The purpose of this chapter is to:

(1) promote the delivery of quality health care in a cost-effective manner;

(2) ensure that a utilization review agent adheres to reasonable standards for conducting utilization review;

(3) foster greater coordination and cooperation between a health care provider and utilization review agent;

(4) improve communications and knowledge of benefits among all parties concerned before an expense is incurred; and

(5) ensure that a utilization review agent maintains the confidentiality of medical records in accordance with applicable law.

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