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 title (relating to Independent Review Organization Contact with and Receipt of Information from Heath Care Providers and Patients).
3. (c) At the time of billing, independent review organizations shall provide to the department a copy of such bill for information.
4. (d) Utilization review agents or payors, as appropriate, shall pay independent review organizations directly within 30 days of receipt of invoice.
5. (e) 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.