453-05-5830-m4
DECISION AND ORDER HCA Texas Orthopedic 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] denying additional reimbursement to Provider for a hospital stay provided to Claimant, an injured worker. Provider argued that reimbursement for this admission should be […]
453-05-5831-m4
DECISION AND ORDER HCA Spring Branch Medical Center (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] denying additional reimbursement to Provider for a hospital stay provided to Claimant, an injured worker. Provider argued that reimbursement for this admission should […]
453-05-5834-m4
DECISION AND ORDER HCA Spring Branch Medical Center (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] denying additional reimbursement to Provider for a hospital stay provided to Claimant, an injured worker. Provider argued that reimbursement for this admission should […]
453-05-5836-m4
DECISION AND ORDER Spring Branch Medical Center (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] denying additional reimbursement to Provider for a hospital stay provided to Claimant, an injured worker. Provider argued that reimbursement for this admission should be […]
453-05-6380-m4
DECISION AND ORDER Spring Branch Medical Center (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] denying additional reimbursement to Provider for a hospital stay provided to Claimant, an injured worker. Provider argued that reimbursement for this admission should be […]
453-05-6586-m4
DECISION AND ORDER Rio Grande Regional 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] denying additional reimbursement to Provider for a hospital stay provided to Claimant, an injured worker. Provider argued that reimbursement for this admission should be […]
454-07-0889-p1
DECISION AND ORDER _________ (self-insurer, referred to as Carrier) challenges a medical interlocutory order (MIO) issued by the Texas Department of Insurance, Division of Workers’ Compensation (Division), requiring Carrier to pay for two epidural steroid injections (injections) in a 90-day period to be performed in a doctor’s office. This decision concludes that both injections were […]
454-05-0705-p1
DECISION AND ORDER ______ (self-insurer, referred to as Carrier) challenges a medical interlocutory order (MIO) issued by the Texas Workers’ Compensation Commission, now the Texas Department of Insurance, Division of Workers’ Compensation (Division), requiring Carrier to pay for an orthopaedic specialist, a pain management specialist, and three medications (Ambien, Neurontin, and Hydrocodone) over a three-month […]
454-06-1794-p1
DECISION AND ORDER I. INTRODUCTION Lumbermen’s Mutual Casualty Company (Carrier) requested a hearing to contest a medical interlocutory order (MIO) issued by the Texas Department of Insurance, Division of Workers’ Compensation (Division). The MIO ordered the Carrier to reimburse the Claimant for medical services and a prescription for pain reliever. The medical services and prescription […]
453-05-5078-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] denying additional reimbursement to Provider for a hospital stay provided to Claimant, an injured worker. Provider argued that reimbursement for this admission should be […]