Texas § 4201.104 CERTIFICATION AND RENEWAL FORMS.

Texas Statutes

§ 4201.104 — CERTIFICATION AND RENEWAL FORMS.

Texas § 4201.104

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Bluebook

Tex. Insurance Code Code Ann. § 4201.104 (2026).

Text

Sec. 4201.104. CERTIFICATION AND RENEWAL FORMS.

(a)The commissioner shall promulgate forms to be filed under this subchapter for initial certification and for a renewal certificate of registration. The form for initial certification must require:

(1)the utilization review agent's name, address, telephone number, and normal business hours;

(2)the name and address of an agent for service of process in this state;

(3)a summary of the utilization review plan;

(4)information concerning the categories of personnel who will perform utilization review for the agent;

(5)a copy of the procedures established under Subchapter H for the appeal of an adverse determination;

(6)a certification that the agent will comply with this chapter; and

(7)a copy of the procedures for resolving oral or writt

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Sec. 4201.104. CERTIFICATION AND RENEWAL FORMS. (a) The commissioner shall promulgate forms to be filed under this subchapter for initial certification and for a renewal certificate of registration. The form for initial certification must require:
(1) the utilization review agent's name, address, telephone number, and normal business hours;
(2) the name and address of an agent for service of process in this state;
(3) a summary of the utilization review plan;
(4) information concerning the categories of personnel who will perform utilization review for the agent;
(5) a copy of the procedures established under Subchapter H for the appeal of an adverse determination;
(6) a certification that the agent will comply with this chapter; and
(7) a copy of the procedures for resolving oral or written complaints initiated by enrollees, patients, or health care providers as required by Section 4201.204 .
(b) The commissioner may not require that the summary of the utilization review plan include proprietary details.