Appeals from an adverse determination by a utilization review agent shall be governed by the Texas Workers' Compensation Act and the applicable rules and procedures of the TWCC including but not limited to Chapter 134, Subchapter G of this title (relating to Prospective and Concurrent Review of Health Care) and Chapter 133, Subchapter D of this title (relating to Dispute and Audit of Bills by Insurance Carriers).

Source Note:The provisions of this §19.2012 adopted to be effective September 20, 1998, 23 TexReg 9560; amended to be effective June 1, 2003, 28 TexReg 3965.