Tex. Ins. Code Section 4203.001
Definition


In this chapter, “consultant” means a person who, for compensation and at the request of an insurer, business, individual, or utilization review agent:

(1)

reviews, assesses, or evaluates a claim, charge, or service of another chiropractor to determine whether the claim, charge, or service is:

(A)

medically necessary, reasonable, or appropriate; or

(B)

recommended for payment or nonpayment; or

(2)

advises an insurer or utilization review agent regarding a chiropractic charge or service or recommends to that insurer or agent guidelines for a chiropractic charge or service.
Added by Acts 2005, 79th Leg., Ch. 727 (H.B. 2017), Sec. 4, eff. April 1, 2007.

Source: Section 4203.001 — Definition, https://statutes.­capitol.­texas.­gov/Docs/IN/htm/IN.­4203.­htm#4203.­001 (accessed May 4, 2024).

Accessed:
May 4, 2024

§ 4203.001’s source at texas​.gov