Form LHL717 Utilization Review Agent's Designated Contact for Iro Requests - Texas

Form LHL717 Utilization Review Agent's Designated Contact for Iro Requests - Texas

What Is Form LHL717?

This is a legal form that was released by the Texas Department of Insurance - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form LHL717?A: Form LHL717 is a document used in Texas for Utilization Review Agent's Designated Contact for IRO (Independent Review Organization) Requests.

Q: What is the purpose of Form LHL717?A: The purpose of Form LHL717 is to designate a contact person for Utilization Review Agent's IRO Requests in Texas.

Q: What is an IRO?A: IRO stands for Independent Review Organization. It is an external entity that conducts reviews of denied insurance claims to ensure they were handled appropriately.

Q: What is a Utilization Review Agent?A: A Utilization Review Agent is an entity responsible for reviewing and approving medical treatment plans to determine if they are medically necessary and appropriate.

Q: Who needs to complete Form LHL717?A: The Utilization Review Agent needs to complete Form LHL717 to designate a specific contact person for IRO Requests in Texas.

Q: Is Form LHL717 specific to Texas?A: Yes, Form LHL717 is specific to Texas as it is used for Utilization Review Agent's Designated Contact for IRO Requests in the state.

Q: Is there a fee to submit Form LHL717?A: There is no specific information available regarding any fees associated with submitting Form LHL717. It is recommended to consult the relevant agency or entity for more details.

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Form Details:

  • Released on May 1, 2022;
  • The latest edition provided by the Texas Department of Insurance;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form LHL717 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance.

Download Form LHL717 Utilization Review Agent's Designated Contact for Iro Requests - Texas

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