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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 (Ura) 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 the Form LHL005 Utilization Review Agent (URA) Application?
A: The Form LHL005 Utilization Review Agent (URA) Application is a document used in Texas for individuals or entities applying to become a Utilization Review Agent.
Q: What is a Utilization Review Agent?
A: A Utilization Review Agent is an individual or entity that performs utilization review on behalf of a health benefit plan.
Q: Who needs to fill out the Form LHL005 Utilization Review Agent (URA) Application?
A: Anyone in Texas who wishes to become a Utilization Review Agent needs to fill out this form.
Q: What information is required in the Form LHL005 Utilization Review Agent (URA) Application?
A: The application requires information such as contact details, background information, licensing information, and disclosure of any criminal history or disciplinary actions.
Q: How long does it take to process the Form LHL005 Utilization Review Agent (URA) Application?
A: The processing time for the application can vary. It is recommended to submit the application well in advance to allow for processing.
Q: Who can I contact for help with the Form LHL005 Utilization Review Agent (URA) Application?
A: If you need assistance or have questions about the Form LHL005 Utilization Review Agent (URA) Application, you can contact the Texas Department of Insurance directly.
Form Details:
- Released on July 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 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 (Ura) Application - Texas
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