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U.S. State Codes
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Texas
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Insurance Code
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Title 14 - Utilization Revi...
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Chapter 4201 - Utilization ...
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Subchapter H. Appeal of Adverse Determination
Subchapter H. Appeal of Adverse Determination
Section 4201.351. Complaint as Appeal
Section 4201.352. Written Description of Appeal Procedures
Section 4201.353. Appeal Procedures Must Be Reasonable
Section 4201.354. Persons or Entities Who May Appeal
Section 4201.355. Acknowledgment of Appeal
Section 4201.356. Decision by Physician Required; Specialty Review
Section 4201.357. Expedited Appeal for Denial of Emergency Care, Continued Hospitalization, Prescription Drugs or Intravenous Infusions
Section 4201.358. Response Letter to Interested Persons
Section 4201.359. Notice of Appeal
Section 4201.360. Immediate Appeal to Independent Review Organization in Life-Threatening Circumstances
Section 4201.3601. Immediate Appeal to Independent Review Organization for Denial of Prescription Drugs or Intravenous Infusions