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.
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.
Form Details:
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.