§ 4201.351 Complaint as Appeal
§ 4201.352 Written Description of Appeal Procedures
§ 4201.353 Appeal Procedures Must Be Reasonable
§ 4201.354 Persons or Entities Who May Appeal
§ 4201.355 Acknowledgment of Appeal
§ 4201.356 Decision by Physician Required; Specialty Review
§ 4201.357 Expedited Appeal for Denial of Emergency Care, Continued Hospitalization, Prescription Drugs or Intravenous Infusions
§ 4201.358 Response Letter to Interested Persons
§ 4201.359 Notice of Appeal
§ 4201.360 Immediate Appeal to Independent Review Organization in Life-Threatening Circumstances
§ 4201.3601 Immediate Appeal to Independent Review Organization for Denial of Prescription Drugs or Intravenous Infusions

Terms Used In Texas Insurance Code Chapter 4201 > Subchapter H - Appeal of Adverse Determination

  • Appeal: A request made after a trial, asking another court (usually the court of appeals) to decide whether the trial was conducted properly. To make such a request is "to appeal" or "to take an appeal." One who appeals is called the appellant.
  • Complaint: A written statement by the plaintiff stating the wrongs allegedly committed by the defendant.
  • Corporation: A legal entity owned by the holders of shares of stock that have been issued, and that can own, receive, and transfer property, and carry on business in its own name.
  • in writing: includes any representation of words, letters, or figures, whether by writing, printing, or other means. See Texas Government Code 312.011
  • Lien: A claim against real or personal property in satisfaction of a debt.
  • Mortgage: The written agreement pledging property to a creditor as collateral for a loan.
  • Personal property: All property that is not real property.