Texas § IN.1301.053 - APPEAL RELATING TO DESIGNATION AS PREFERRED PROVIDER
Full text of Texas The Texas Constitution § IN.1301.053 — APPEAL RELATING TO DESIGNATION AS PREFERRED PROVIDER, with citation guidance and answers to common questions.
§ IN.1301.053. APPEAL RELATING TO DESIGNATION AS PREFERRED PROVIDER
APPEAL RELATING TO DESIGNATION AS PREFERRED PROVIDER. (a) An insurer that does not designate a practitioner as a preferred provider shall provide a reasonable mechanism for reviewing that action. The review mechanism must incorporate, in an advisory role only, a review panel. (b) A review panel must be composed of at least three individuals selected by the insurer from a list of participating practitioners and must include one member who is a practitioner in the same or similar specialty as the affected practitioner, if available. The practitioners contracting with the insurer in the applicable service area shall provide the list of practitioners to the insurer. (c) On request, the insurer shall provide to the affected practitioner: (1) the panel's recommendation, if any; and (2) a written explanation of the insurer's determination, if that determination is contrary to the panel's recommendation. Added by Acts 2003, 78th Leg., ch. 1274, Sec. 3, eff. April 1, 2005.
Source: official Texas text · Last verified 2026-08-27
Frequently Asked Questions About Texas § IN.1301.053
What does The Texas Constitution § IN.1301.053 cover?
Section IN.1301.053 ("APPEAL RELATING TO DESIGNATION AS PREFERRED PROVIDER") is part of the The Texas Constitution, the codified statutory law of Texas. It sets out the legal rule or procedure described in the text above. Statutes are amended regularly, so always verify against the official source.
How do I cite Texas § IN.1301.053?
A common citation format is "The Texas Constitution § IN.1301.053" (Texas). Legal writing may require the code abbreviation, section number, and year or edition. Match the style required by your court, professor, or publisher.
Is this the official text of Texas law?
No. This page is for research and education and may not include the most recent amendments. For official current law, check the Texas official source linked on this page or consult a licensed Texas attorney.
How does Texas § IN.1301.053 apply to my situation?
Statutes are interpreted in context, and application depends on your specific facts. Only a licensed attorney in Texas can advise on how this section applies to you. Contact your state or local bar association for a referral.
Sources & Verification
Not legal advice. Verify against the official source and consult a licensed attorney in Texas.