Texas Administrative Code
Title 28 - INSURANCE
Part 2 - TEXAS DEPARTMENT OF INSURANCE, DIVISION OF WORKERS' COMPENSATION
Chapter 42 - MEDICAL BENEFITS
Subchapter B - MEDICAL COST EVALUATION
Section 42.135 - Liability for Covered Health Care

Universal Citation: 28 TX Admin Code ยง 42.135

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

(a) The carrier is solely liable to pay a provider for health care which is covered under the Act.

(b) The injured worker shall not be billed for covered health care, nor for any amounts in excess of the amount adjudicated as fair and reasonable. The injured worker shall not be billed for reports, handling fees, interest, or any other surcharge related to the covered health care. The provider shall not refer the injured worker to a collection agency or a retail credit organization.

(c) This section does not apply if the injured worker has received an excess recovery from a third party, pursuant to Texas Civil Statutes, Article 8307, §6a, and § 42.60 of this title (relating to Excess Recovery from Third Party Actions.)

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