Texas § 4201.004 TELEPHONE ACCESS.

Texas Statutes

§ 4201.004 — TELEPHONE ACCESS.

Texas § 4201.004

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Bluebook

Tex. Insurance Code Code Ann. § 4201.004 (2026).

Text

Sec. 4201.004. TELEPHONE ACCESS.

(a)A utilization review agent shall:

(1)have appropriate personnel reasonably available, by toll-free telephone at least 40 hours per week during normal business hours in this state, to discuss patients' care and allow response to telephone review requests;

(2)have a telephone system capable, during hours other than normal business hours, of accepting or recording incoming telephone calls or of providing instructions to a caller; and

(3)respond to a call made during hours other than normal business hours not later than the second working day after the later of:

(A)the date the call was received; or

(B)the date the details necessary to respond have been received from the caller.

(b)A utilization review agent must provide to the commissioner a written

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Sec. 4201.004. TELEPHONE ACCESS. (a) A utilization review agent shall:
(1) have appropriate personnel reasonably available, by toll-free telephone at least 40 hours per week during normal business hours in this state, to discuss patients' care and allow response to telephone review requests;
(2) have a telephone system capable, during hours other than normal business hours, of accepting or recording incoming telephone calls or of providing instructions to a caller; and
(3) respond to a call made during hours other than normal business hours not later than the second working day after the later of:
(A) the date the call was received; or
(B) the date the details necessary to respond have been received from the caller.
(b) A utilization review agent must provide to the commissioner a written description of the procedures to be used when responding with respect to poststabilization care subsequent to emergency treatment as requested by a treating physician or other health care provider.
SUBCHAPTER B. APPLICABILITY OF CHAPTER