Texas Administrative Code
Title 28 - INSURANCE
Part 2 - TEXAS DEPARTMENT OF INSURANCE, DIVISION OF WORKERS' COMPENSATION
Chapter 134 - BENEFITS-GUIDELINES FOR MEDICAL SERVICES, CHARGES, AND PAYMENTS
Subchapter I - MEDICAL BILL REPORTING
Section 134.800 - Applicability

Universal Citation: 28 TX Admin Code ยง 134.800

Current through Reg. 49, No. 38; September 20, 2024

(a) This subchapter applies to all insurance carriers as defined in Labor Code § 401.011(27), including insurance carriers that have contracted with or established a workers' compensation health care network as defined in Labor Code § 401.011(31-a) and insurance carriers that provide medical benefits in a manner authorized by Labor Code § 504.053(b)(2). All insurance carriers are required to report information prescribed by the commissioner under Labor Code § 413.007 and § 413.008 for each medical bill on a workers' compensation claim.

(b) This section is effective September 1, 2011. Insurance carriers and trading partners may submit medical EDI records in accordance with this subchapter prior to this effective date.

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