# 28 Tex. Admin. Code § 19.1708: 28 TAC § 19.1708. On-Site Review by a URA, DIVISION 1. UTILIZATION REVIEWS

> Texas · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C19_S19_1708

## Section

- **Citation:** 28 Tex. Admin. Code § 19.1708
- **Heading:** 28 TAC § 19.1708. On-Site Review by a URA, DIVISION 1. UTILIZATION REVIEWS
- **Jurisdiction:** Texas
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Texas Administrative Code / Title 28 INSURANCE / Part 1 TEXAS DEPARTMENT OF INSURANCE / Chapter 19 LICENSING AND REGULATION OF INSURANCE PROFESSIONALS / 28 TAC § 19.1708

## Text

(a) Identification of URAs. If a URA's staff member
 is conducting an on-site or off-site review, each staff member must
 provide his or her name, the name of his or her organization, photo
 identification, and the URA identification card with the certification
 or registration number assigned by TDI when requested by an individual,
 including an enrollee or health care provider.
(b) On-site review. For on-site review conducted at
 a health care facility, URAs:
(1) must ensure that their on-site review staff:
(A) register with the appropriate contact individual,
 if available, prior to requesting any clinical information or assistance
 from health care facility staff; and
(B) wear appropriate health care facility supplied
 identification tags while on the health care facility premises;
(2) must agree, if so requested, that the medical records
 remain available in the designated areas during the on-site review
 and that reasonable health care facility administrative procedures
 will be followed by on-site review staff to avoid disrupting health
 care facility operations or enrollee care. The procedures, however,
 should not obstruct or limit the ability of the URA to efficiently
 conduct the necessary review.

## Nearby sections

- [28 Tex. Admin. Code § 19.1701 28 TAC § 19.1701. General Provisions, DIVISION 1. UTILIZATION REVIEWS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C19_S19_1701.md)
- [28 Tex. Admin. Code § 19.1702 28 TAC § 19.1702. Applicability, DIVISION 1. UTILIZATION REVIEWS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C19_S19_1702.md)
- [28 Tex. Admin. Code § 19.1703 28 TAC § 19.1703. Definitions, DIVISION 1. UTILIZATION REVIEWS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C19_S19_1703.md)
- [28 Tex. Admin. Code § 19.1704 28 TAC § 19.1704. Certification or Registration of URAs, DIVISION 1. UTILIZATION REVIEWS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C19_S19_1704.md)
- [28 Tex. Admin. Code § 19.1705 28 TAC § 19.1705. General Standards of Utilization Review, DIVISION 1. UTILIZATION REVIEWS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C19_S19_1705.md)
- [28 Tex. Admin. Code § 19.1706 28 TAC § 19.1706. Requirements and Prohibitions Relating to Personnel, DIVISION 1. UTILIZATION REVIEWS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C19_S19_1706.md)
- [28 Tex. Admin. Code § 19.1707 28 TAC § 19.1707. URA Contact with and Receipt of Information from Health Care Providers, DIVISION 1. UTILIZATION REVIEWS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C19_S19_1707.md)
- [28 Tex. Admin. Code § 19.1708 28 TAC § 19.1708. On-Site Review by a URA, DIVISION 1. UTILIZATION REVIEWS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C19_S19_1708.md)
- [28 Tex. Admin. Code § 19.1709 28 TAC § 19.1709. Notice of Determinations Made in Utilization Review, DIVISION 1. UTILIZATION REVIEWS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C19_S19_1709.md)
- [28 Tex. Admin. Code § 19.1710 28 TAC § 19.1710. Requirements Prior to Issuing an Adverse Determination, DIVISION 1. UTILIZATION REVIEWS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C19_S19_1710.md)
- [28 Tex. Admin. Code § 19.1711 28 TAC § 19.1711. Written Procedures for Appeal of Adverse Determinations, DIVISION 1. UTILIZATION REVIEWS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C19_S19_1711.md)
- [28 Tex. Admin. Code § 19.1712 28 TAC § 19.1712. URA's Telephone Access, DIVISION 1. UTILIZATION REVIEWS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C19_S19_1712.md)
- [28 Tex. Admin. Code § 19.1713 28 TAC § 19.1713. Confidentiality, DIVISION 1. UTILIZATION REVIEWS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C19_S19_1713.md)
- [28 Tex. Admin. Code § 19.1714 28 TAC § 19.1714. Regulatory Requirements Subsequent to Certification or Registration, DIVISION 1. UTILIZATION REVIEWS](https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C19_S19_1714.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/STATE_TX_TAC_T28_P1_C19_S19_1708. Check the current official text before relying on it. Not legal advice.