133.260
(a) An insurance carrier shall request a refund within 240 days from the date of service or 30 days from completion of an audit performed in accordance with §133.230 (relating to Insurance Carrier Audit of a Medical Bill), whichever is later, when it determines that inappropriate health care was previously reimbursed, or when an overpayment […]
133.280
(a) An employer may request reimbursement from the insurance carrier when the employer has paid for health care provided for a compensable injury, and provided notice of injury in compliance with Labor Code § 409.005. (b) The employer shall be reimbursed in accordance with § 134.1. (c) The employer may seek reimbursement for any payment […]
134.100
(a) When an injured employee’s treating doctor is present at a required medical examination in accordance with §126.6 of this title (relating to Required Medical Examination), the insurance carrier shall reimburse the treating doctor for time as follows: (1) at a rate of $100 an hour limited to four hours, unless the insurance carrier pre-approves […]
134.120
(a) An insurance carrier is not required to reimburse initial medical documentation provided to the insurance carrier in accordance with §133.210 of this title (relating to Medical Documentation). (b) An insurance carrier shall separately reimburse subsequent copies of medical documentation requested by the insurance carrier in accordance with § 133.210 of this title. (c) Upon […]
134.130
(a) Insurance carriers shall pay interest on medical bills paid on or after the 60th day after the insurance carrier originally received the complete medical bill, in accordance with § 133.340 of this title (relating to Medical Payments and Denials). (b) Health care providers shall pay interest to insurance carriers on requests for refunds paid […]
112.200
For purposes of the Texas Workers’ Compensation Act (the Act), § 406.142, “residential structures” are buildings used as a family dwelling or multi-family dwelling, limited to a single-family residence, a duplex, a triplex, and a quadraplex. All other types of structures used for living purposes shall be considered commercial structures, and shall only be included […]
112.402
(a) Medical care available to a professional athlete subject to the Texas Workers’ Compensation Act (the Act), Texas Labor Code, § 406.095, is equal to or greater than medical benefits under the Act if: (1) the athlete is entitled to all health care reasonably required by the nature of the work-related injury as and when […]
134.303
(a) Applicability of this rule is as follows: (1) This section applies to professional dental services provided in the Texas Workers’ Compensation system. (2) This section shall be applicable to professional dental services provided on or after June 15, 2005. For professional dental services provided August 1, 2003 through June 14, 2005, §134.202 of this […]
140.4
(a) The presiding officer may at the beginning of any proceeding and during the course of that proceeding establish rules of decorum to be followed during the proceeding. The presiding officer may also establish times for beginning the proceeding, for recesses, and for ending the proceeding. (b) Parties and participants in a proceeding shall conduct […]
102.3
(a) Due dates and time periods under this Act shall be computed as follows: (1) computing a period of days. In counting a period of time measured by days, the first day is excluded and the last day is included. (2) computing a period of months. If a number of months is to be computed […]