454-07-0952-p1
DECISION AND ORDER I. INTRODUCTION Lumbermen’s Mutual Casualty Company (Carrier) requested a hearing to contest a medical interlocutory order issued by the Texas Department of Insurance, Division of Workers’ Compensation (Division) regarding an office visit and prescriptions for two drugs provided in October 2006 by Michael J. Pendleton, M.D., to a workers’ compensation claimant (Claimant). […]
453-05-2084-m4
DECISION AND ORDER Texas 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)[1] ordering additional reimbursement to Vista Medical Center Hospital (Provider) for a hospital stay provided to Claimant, an injured worker. Provider argued that reimbursement for […]
453-05-2120-m4
DECISION AND ORDER Texas 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)[1] ordering additional reimbursement to Vista Medical Center Hospital (Provider) for a hospital stay provided to Claimant, an injured worker. Provider argued that reimbursement for […]
454-07-2300-p1
DECISION AND ORDER American Motorists Insurance Company (Carrier) requested a hearing to contest a medical interlocutory order (MIO)[1] issued by the Division of Workers’ Compensation of the Texas Department of Insurance (Division). The MIO required the Carrier to pay for three office visits to Julian Lowell Haro, M.D., to monitor medication, and for the medications […]
453-05-1649-m4
DECISION AND ORDER American Home Assurance 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)[1] ordering additional reimbursement to Vista Medical Center Hospital (Provider) for a hospital stay provided to Claimant, an injured worker. Provider argued that reimbursement for […]
453-05-2027-m4
DECISION AND ORDER American Home Assurance 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)[1] ordering additional reimbursement to Southwest Texas Methodist Hospital (Provider) for a hospital stay provided to Claimant, an injured worker. Provider argued that reimbursement for […]
453-05-2140-m4
DECISION AND ORDER Continental Casualty 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)[1] ordering additional reimbursement to Vista Medical Center Hospital (Provider) for a hospital stay provided to Claimant, an injured worker. Provider argued that reimbursement for this […]
453-05-2888-m4
DECISION AND ORDER Zurich American 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)[1] ordering additional reimbursement to Vista Medical Center Hospital (Provider) for a hospital stay provided to Claimant, an injured worker. Provider argued that reimbursement for […]
453-05-3045-m4
DECISION AND ORDER Zenith American 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)[1] ordering additional reimbursement to Metropolitan Methodist Hospital (Provider) for a hospital stay provided to Claimant, an injured worker. Provider argued that reimbursement for this […]
453-05-3226-m5
DECISION AND ORDER American Home Assurance 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)[1] ordering additional reimbursement to HCA Corpus Christi Medical Center (Provider) for a hospital stay provided to Claimant, an injured worker. Provider argued that reimbursement […]