Sec. 413.017. PRESUMPTION OF REASONABLENESS. The following medical services are presumed reasonable:
(1) medical services consistent with the medical policies and fee guidelines adopted by the commissioner; and
(2) medical services that are provided subject to prospective, concurrent, or retrospective review as required by the medical policies of the division and that are authorized by an insurance carrier.
Acts 1993, 73rd Leg., ch. 269, Sec. 1, eff. Sept. 1, 1993.
Amended by:
Acts 2005, 79th Leg., Ch. 265 (H.B. 7), Sec. 3.240, eff. September 1, 2005.
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