§ 4201.201 Repetitive Contacts With Health Care Provider or Patient; Frequency of Reviews
§ 4201.202 Observing or Participating in Patient’s Care
§ 4201.203 Mental Health Therapy
§ 4201.204 Complaint System
§ 4201.205 Designated Initial Contact
§ 4201.206 Opportunity to Discuss Treatment Before Adverse Determination
§ 4201.207 Charges by Health Care Provider for Providing Medical Information

Terms Used In Texas Insurance Code Chapter 4201 > Subchapter E - Utilization Review: Relations With Patients and Health Care Providers

  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Comptroller: means the state comptroller of public accounts. See Texas Government Code 312.011
  • Contract: A legal written agreement that becomes binding when signed.
  • Equitable: Pertaining to civil suits in "equity" rather than in "law." In English legal history, the courts of "law" could order the payment of damages and could afford no other remedy. See damages. A separate court of "equity" could order someone to do something or to cease to do something. See, e.g., injunction. In American jurisprudence, the federal courts have both legal and equitable power, but the distinction is still an important one. For example, a trial by jury is normally available in "law" cases but not in "equity" cases. Source: U.S. Courts
  • in writing: includes any representation of words, letters, or figures, whether by writing, printing, or other means. See Texas Government Code 312.011
  • Obligation: An order placed, contract awarded, service received, or similar transaction during a given period that will require payments during the same or a future period.
  • Writ: A formal written command, issued from the court, requiring the performance of a specific act.