- (a) Complaints against an independent review organization shall be processed in accordance with the department's established procedures for investigation and resolution of complaints.
- (b) As part of its oversight of independent review organizations, the department will conduct compliance audits to ensure that independent review organizations are in compliance with the Insurance Code Chapters 1305 and 4202 and the rules and standards in this chapter.
- (c) The department may use the authority of the Insurance Code §38.001 to make inquiries of any independent review organization.
- (d) This chapter does not limit the ability of the Commissioner of Workers' Compensation or TDI-DWC to make inquiries, conduct audits, or receive and investigate complaints against independent review organizations or personnel employed by or under contract with independent review organizations to perform independent review to determine compliance with or violations of the Labor Code Title 5 or applicable TDI-DWC rules.
Source Note:The provisions of this §12.301 adopted to be effective November 26, 1997, 22 TexReg 11363; amended to be effective December 26, 2010, 35 TexReg 11281.