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This version of the form is not currently in use and is provided for reference only. Download this version of
Form LHL005
for the current year.
Form LHL005 Utilization Review Agent Application - Texas
What Is Form LHL005?
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 LHL005?
A: Form LHL005 is the Utilization Review Agent Application for the state of Texas.
Q: Who needs to complete Form LHL005?
A: Utilization Review Agents in Texas need to complete Form LHL005.
Q: What is a Utilization Review Agent?
A: A Utilization Review Agent is an entity that conducts utilization review activities to evaluate the necessity and appropriateness of healthcare services.
Q: Is Form LHL005 only for Texas residents?
A: No, Form LHL005 is for any Utilization Review Agent operating in the state of Texas, regardless of their residency status.
Form Details:
- Released on September 1, 2015;
- 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 LHL005 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance.
Download Form LHL005 Utilization Review Agent Application - Texas
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