1. (a) Independent review organizations shall bill utilization review agents or payors, as appropriate, directly for fees for independent review.
2. (b) Independent review organizations may also bill utilization review agents or payors, as appropriate, for copy expenses related to review as set forth in §12.205 of this chapter (relating to Independent Review Organization Contact with and Receipt of Information from Heath Care Providers and Patients).
3. (c) Utilization review agents or payors, as appropriate, shall pay independent review organizations directly within 30 days of receipt of invoice. For workers' compensation network and non-network disputes, the independent review organization fees shall be paid in accordance with §133.308 of this title (relating to MDR by Independent Review Organizations).
4. (d) Utilization review agents may recover from the payors the costs associated with the independent review.

Source Note:The provisions of this §12.404 adopted to be effective November 26, 1997, 22 TexReg 11363; amended to be effective December 26, 2010, 35 TexReg 11281.