Texas Administrative Code
Title 28 - INSURANCE
Part 2 - TEXAS DEPARTMENT OF INSURANCE, DIVISION OF WORKERS' COMPENSATION
Chapter 127 - DESIGNATED DOCTOR PROCEDURES AND REQUIREMENTS
Subchapter A - DESIGNATED DOCTOR SCHEDULING AND EXAMINATIONS
Section 127.15 - Undue Influence on a Designated Doctor
Universal Citation: 28 TX Admin Code ยง 127.15
Current through Reg. 49, No. 38; September 20, 2024
(a) Communication about medical condition or history. To avoid undue influence on the designated doctor:
(1) except as provided by §
127.10(a) of this
title (relating to General Procedures for Designated Doctor Examinations), only
the injured employee or appropriate division staff may communicate with the
designated doctor about the injured employee's medical condition or history
before the designated doctor examines the injured employee;
(2) after the examination is completed, only
appropriate division staff may communicate with the designated doctor about the
injured employee's medical condition or history; and
(3) the designated doctor may initiate
communication with:
(A) any health care
provider who previously treated or examined the injured employee for the
work-related injury; or
(B) a peer
review doctor that the insurance carrier identifies as having reviewed the
injured employee's claim or any information about that claim.
(b) Communication about administrative matters. The insurance carrier, treating doctor, injured employee, or injured employee's representative, if any, may contact the designated doctor's office to ask about administrative matters, including, but not limited to, whether the designated doctor received the records, whether the exam took place, or whether the designated doctor has filed the report, or other similar matters.
Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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