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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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HCFAs FAQ
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The rule is that you can dispute an impairment rating by either requesting a Benefit Review Conference or requesting a designated doctor (DD). In both instances you should note on the form that you are disputing the impairment rating that you already received.
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Talk with the insurance carrier's adjuster about your dispute. Attend a benefit review conference (BRC). Attend a contested case hearing or arbitration. If you don't agree with the hearing decision, you can appeal (or respond to an appeal) to the Appeals Panel.
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It provides pay and medical benefits to employees who have a work-related injury or illness. Not all Texas employers provide workers' compensation insurance, but most do. Your employer must have workers' compensation insurance for you to get benefits. Don't miss out on receiving important notices about your claim.
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The Texas Dispute Resolution System provides alternative dispute resolution services to rural Texans. With mediation experience in criminal, civil, family, juvenile, guardianship, debt and agriculture disputes, the Texas Dispute Resolution System provides in-person and virtual mediation services.
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You can get more information about the medical fee dispute resolution process by calling the TDI-DWC Medical Fee Dispute Resolution Section at (512) 804-4812 or e-mailing mdrinquiry@tdi.texas.gov. You can also access the medical fee dispute resolution rules on the TDI website at http://.tdi.texas.gov/wc/mfdr/.
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The rule is that you can dispute an impairment rating by either requesting a Benefit Review Conference or requesting a designated doctor (DD). In both instances you should note on the form that you are disputing the impairment rating that you already received.
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You can get more information about the medical fee dispute resolution process by calling the TDI-DWC Medical Fee Dispute Resolution Section at (512) 804-4812 or e-mailing mdrinquiry@tdi.texas.gov. You can also access the medical fee dispute resolution rules on the TDI website at http://.tdi.texas.gov/wc/mfdr/.
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