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Get Texas Department Of Insurance Division Of Workers Compensation Medical Fee Dispute Resolution

NDINGS AND DECISION PART I: GENERAL INFORMATION Requestor Name and Address: CARL M. NAEHRITZ, III, D.C. 2900 HIGHWAY 121, SUITE 120 BEDFORD, TX 76021 Respondent Name and Box #: AMERICAN HOME ASSURANCE CO Box #: 19 MFDR Tracking #: M4-09-7016-01 DWC Claim #: Injured Employee: Date of Injury: Employer Name: Insurance Carrier #: PART II: REQUESTOR S POSITION SUMMARY Requestor s Position Summary: After many unsuccessful attempts to resolve the issues of medical payments with Hartford.

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