Title: 

Title 28. Insurance

Part: 

Part 2 – Division of Workers’ Compensation

Section: 

42.305

Name: 

Requesting Dispute Review and Resolution

Eff. Date: 

October 20, 1988

No Code Reference

§42.305
Requesting Dispute Review and Resolution

(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.

The provisions of this §42.305 adopted to be effective October 20, 1988, 13 TexReg 4998.