453-05-6886-m4

DECISION AND ORDER Vista Medical Center Hospital (Provider) requested a hearing on a decision by the Medical Review Division (MRD) of the Texas Department of Insurance, Division of Workers’ Compensation (Division)[2] denying additional reimbursement for a hospital stay provided to Claimant, an injured worker. Provider argued that reimbursement for this admission should be based on […]

453-05-6934-m4

DECISION AND ORDER Vista Medical Center Hospital (Provider) and TPCIGA[2] for Credit General Indemnity Company (Carrier)[3]both requested a hearing to contest a decision by the Medical Review Division (MRD) of the Texas Department of Insurance, Division of Workers’ Compensation (Division)[4] ordering additional reimbursement, but less than Provider requested, for a hospital stay provided to Claimant, […]

453-05-6546-m4

DECISION AND ORDER Vista Medical Center Hospital (Provider) and TPCIGA[2] for Credit General Indemnity Company (Carrier)[3]both requested a hearing to contest a decision by the Medical Review Division (MRD) of the Texas Department of Insurance, Division of Workers’ Compensation (Division)[4] denying additional reimbursement for a hospital stay provided to Claimant, an injured worker. Provider argued […]

453-05-6552-m4

DECISION AND ORDER Vista Medical Center Hospital (Provider) requested a hearing on a decision by the Medical Review Division (MRD) of the Texas Department of Insurance, Division of Workers’ Compensation (Division).[1] Although the MRD found that Provider is entitled to additional reimbursement under the per diem reimbursement methodology, Provider argued that reimbursement for this admission […]

453-05-6599-m4

DECISION AND ORDER Vista Medical Center Hospital (Provider) and TPCIGA[2] for Credit General Indemnity Company (Carrier)[3]both requested a hearing to contest a decision by the Medical Review Division (MRD) of the Texas Department of Insurance, Division of Workers’ Compensation (Division)[4] denying additional reimbursement for a hospital stay provided to Claimant, an injured worker. Provider argued […]

453-05-6601-m4

DECISION AND ORDER TPCIGA[2] for Credit General Indemnity Company (Carrier)[3] and Vista Medical Center Hospital (Provider) both requested a hearing to contest a decision by the Medical Review Division (MRD) of the Texas Department of Insurance, Division of Workers’ Compensation (Division)[4] ordering additional reimbursement, but less than Provider requested, to Provider for a hospital stay […]

453-05-6812-m4

DECISION AND ORDER Vista Medical Center Hospital (Provider) requested a hearing to contest a decision by the Medical Review Division (MRD) of the Texas Department of Insurance, Division of Workers’ Compensation (Division)[2] denying additional reimbursement for a hospital stay provided to Claimant, an injured worker. Provider argued that reimbursement for this admission should be based […]

453-05-6782-m4

DECISION AND ORDER Vista Medical Center Hospital (Provider) requested a hearing on a decision by the Medical Review Division (MRD) of the Texas Department of Insurance, Division of Workers’ Compensation (Division).[1] Although the MRD found that Provider is entitled to additional reimbursement under the per diem reimbursement methodology, Provider argued that reimbursement for this admission […]

453-05-6526-m4

DECISION AND ORDER Vista Medical Center Hospital (Provider) requested a hearing on a decision by the Medical Review Division (MRD) of the Texas Department of Insurance, Division of Workers’ Compensation (Division)[2] denying additional reimbursement for a hospital stay provided to Claimant, an injured worker. Provider argued that reimbursement for this admission should be based on […]

453-05-6533-m4

DECISION AND ORDER Liberty Mutual Insurance Company (Carrier) requested a hearing on a decision by the Medical Review Division (MRD) of the Texas Department of Insurance, Division of Workers’ Compensation (Division)[2] ordering additional reimbursement to Vista Medical Center Hospital (Provider) for a hospital stay provided to Claimant, an injured worker. Provider argued that reimbursement for […]