Texas § 1377.052 UTILIZATION REVIEW.

Texas Statutes

§ 1377.052 — UTILIZATION REVIEW.

Texas § 1377.052

Code INInsurance Code

This text of Texas § 1377.052 (UTILIZATION REVIEW.) is published on Counsel Stack Legal Research, covering Texas primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Tex. Insurance Code Code Ann. § 1377.052 (2026).

Text

Sec. 1377.052. UTILIZATION REVIEW.

(a)A utilization review agent acting on behalf of a health benefit plan issuer may review a treating physician's determination of the medical necessity of the use of an amino acid-based elemental formula for the treatment of an enrollee who is diagnosed with a disease or disorder listed in Section 1377.051 (a).

(b)Utilization review under this section is subject to Chapter 4201 .

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Sec. 1377.052. UTILIZATION REVIEW. (a) A utilization review agent acting on behalf of a health benefit plan issuer may review a treating physician's determination of the medical necessity of the use of an amino acid-based elemental formula for the treatment of an enrollee who is diagnosed with a disease or disorder listed in Section 1377.051 (a).
(b) Utilization review under this section is subject to Chapter 4201 .