- (a) An independent review organization shall have appropriate personnel reasonably available to utilization review agents by telephone at least 40 hours per week during normal business hours, in both time zones in Texas, if applicable, to discuss patients' care and allow response to telephone review questions.
- (b) An independent review organization must have a telephone system capable of accepting or recording or providing instructions to incoming calls from utilization review agents during other than normal business hours and shall respond to such calls not later than two working days of the later of the date on which the call was received or the date the details necessary to respond have been received from the caller.
Source Note:The provisions of this §12.207 adopted to be effective November 26, 1997, 22 TexReg 11363.