Section 4203.001 - Definition In this chapter, "consultant" means a person who, for compensation and at the request of an insurer, business, individual, or utilization review agent:
(1) reviews, assesses, or evaluates a claim, charge, or service of another chiropractor to determine whether the claim, charge, or service is: (A) medically necessary, reasonable, or appropriate; or(B) recommended for payment or nonpayment; or(2) advises an insurer or utilization review agent regarding a chiropractic charge or service or recommends to that insurer or agent guidelines for a chiropractic charge or service.Tex. Ins. Code § 4203.001
Added by Acts 2005, 79th Leg., Ch. 727, Sec. 4, eff. 4/1/2007.