Texas Administrative Code
Title 28 - INSURANCE
Part 2 - TEXAS DEPARTMENT OF INSURANCE, DIVISION OF WORKERS' COMPENSATION
Chapter 42 - MEDICAL BENEFITS
Subchapter D - DISPUTE RESOLUTION
Section 42.305 - Requesting Dispute Review and Resolution
Universal Citation: 28 TX Admin Code ยง 42.305
Current through Reg. 49, No. 38; September 20, 2024
(a) Either the carrier or the provider may request board review and resolution of a dispute arising over a medical bill under the following conditions:
(1) the
charge has been incurred; and
(2)
the carrier has admitted liability for compensation.
(b) For the purposes of this chapter, as required by Texas Civil Statutes, Article 8306, §7b(q), the carrier will be deemed to have admitted liability for compensation until the carrier files with the board proper notice of a bona fide liability dispute.
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