28 Tex. Admin. Code § 42.137 - Utilization Review
(a) The claimant and
the carrier may jointly request the board for an informal review and
determination of the necessity or proposed medical treatment.
(b) The application shall be accompanied by
supporting documentation from one or more health care providers.
(c) The determination of necessity shall be
informal, for the purpose of resolving disputes, and shall not be binding on
either party.
(d) The carrier shall
bear the cost of a review provided under this section.
Notes
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