Any person may make a referral to the commission: for fraudulent acts or omissions by any system participant; for failure of a health care provider to provide reasonable and necessary health care; for failure of an insurance carrier to ensure that all and only reasonable and necessary health care is approved and reimbursed in accordance with the Statute and Rules; or for other violations of the Statute or Rules by any system participant.

Source Note:The provisions of this §180.2 adopted to be effective March 14, 2002, 27 TexReg 1817.