Texas Insurance Code 843.256 – Information Provided to Complainant Relating to Complaint Appeal Panel
Current as of: 2024 | Check for updates
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Terms Used In Texas Insurance Code 843.256
- 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.
Not later than the fifth business day before the date a complaint appeal panel is scheduled to meet, unless the complainant agrees otherwise, the health maintenance organization shall provide to the complainant or the complainant’s designated representative:
(1) any documentation to be presented to the complaint appeal panel by the health maintenance organization staff;
(2) the specialization of any physicians or providers consulted during the investigation; and
(3) the name and affiliation of each health maintenance organization representative on the complaint appeal panel.