- (a) A utilization review agent may not engage in unnecessary or unreasonably repetitive contacts with the health care provider or injured employee and shall base the frequency of contacts or reviews on the severity or complexity of the injured employee's condition or on necessary treatment and return to work planning activity.
- (b) A utilization review agent shall not set or impose any notice or other review procedures contrary to the requirements of this subchapter, the Texas Workers' Compensation Act, and the TWCC rules.
Source Note:The provisions of this §19.2007 adopted to be effective September 20, 1998, 23 TexReg 9560.