DECISION AND ORDER
This case is decided pursuant to Chapter 410 of the Texas Workers’ Compensation Act and Rules of the Division of Workers’ Compensation adopted thereunder.
ISSUE
A contested case hearing was docketed for 06/18/08 and, at the request of the Parties, held on 07/11/08, to decide the following disputed issue:
- Is the Respondent entitled to reimbursement in the amount of $464.00
plus applicable accrued interest, for services rendered to the Claimant
on 03/21/07 or 10/15/07?
PARTIES PRESENT
Petitioner and was represented by RT, attorney. Respondent was represented by JE, lay representative.
AGREEMENT
The Parties reached an agreement. The agreement only resolves the issues to be decided at this hearing. The agreement does not resolve all issues regarding the claim and is not a settlement.
In this decision, this Agreement section includes findings of fact and the Decision section constitutes the conclusions of law.
Hearing Officer Findings:
- Venue is proper in the (City) Field Office of the Texas Department of Insurance,
Division of Workers’ Compensation.
compensable injury.
Carrier, and name and street address of Carrier’s registered agent.
The Parties agreed to the following:
- Respondent is not entitled to reimbursement in the amount of $464.00,
plus applicable accrued interest, for services rendered to the Claimant
on 03/21/07 or 10/15/07.
DECISION
Respondent is not entitled to reimbursement in the amount of $464.00, plus
applicable accrued interest, for services rendered to the Claimant on 03/21/07 or
10/15/07?
ORDER
Petitioner is not liable for the benefits at issue in this hearing. Claimant remains entitled to medical benefits for the compensable injury in accordance with §408.021.
The true corporate name of the insurance carrier is (SELF INSURED) and the name and address of its registered agent for service of process is:
EXECUTIVE DIRECTOR
(ADDRESS)
(CITY), TEXAS (ZIP CODE)
Signed this 11th day of July, 2008.
G. W. Quick
Hearings Officer