Texas Administrative Code
Title 28 - INSURANCE
Part 2 - TEXAS DEPARTMENT OF INSURANCE, DIVISION OF WORKERS' COMPENSATION
Chapter 180 - MONITORING AND ENFORCEMENT
Subchapter C - MEDICAL QUALITY REVIEW PANEL
Section 180.60 - Definitions

Universal Citation: 28 TX Admin Code ยง 180.60

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

The following terms, when used in this subchapter, shall have the following meanings:

(1) Doctor--As defined by Labor Code § 401.011(17), a doctor of medicine, osteopathic medicine, optometry, dentistry, podiatry, or chiropractic who is licensed and authorized to practice.

(2) Medical Case Review--A review of a particular case by a Medical Quality Review Panel (MQRP) member regarding professional medical services, delivery of health care, or the quality of a health care practitioner's opinion, recommendation or report. Medical case review includes but it is not limited to review of a treating doctor, peer review doctor, designated doctor, another health care practitioner, an independent review organization, an insurance carrier, or a utilization review agent.

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