Tex. Ins. Code § 4201.457
Current with legislation from the 2023 Regular and Special Sessions signed by the Governor as of November 21, 2023.
A specialty utilization review agent shall comply with the requirement that a physician or other health care provider who makes the decision in an appeal of an adverse determination must be of the same or a similar specialty as the health care provider who would typically manage the specialty condition, procedure, or treatment under review in the appeal.
Tex. Ins. Code § 4201.457