Appeal

Tex. Insurance Code § 1271.202, under Benefits Provided By Health Maintenance Organizations; Evidence of Coverage; Charges.

Tex. Insurance Code § 1271.202

Sec. 1271.202. APPEAL. If a health maintenance organization denies a request under Section 1271.201, the enrollee may appeal the decision through the health maintenance organization's established complaint and appeals process. Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.