Referral

Sec. 4202.012. REFERRAL. The commissioner by rule shall require referral by random assignment of adverse determinations under Subchapter I, Chapter 4201, to independent review organizations. On referral of a determination, the commissioner shall notify: (1) the utilization review agent; (2) the payor; (3) the independent review organization; (4) the patient, as defined by Section 4201.002, or the patient's representative; and (5) the provider of record as defined by Section 4201.002. Added by Acts 2013, 83rd Leg., R.S., Ch. 1024 (H.B. 2645), Sec. 5, eff. September 1, 2013.