55.15
(a) A compromise settlement agreement must contain the following information: (1) that the agreement is executed on a form approved by the division; (2) that the agreement is accompanied by physician’s signed report of the findings of a recent examination of the employee; (3) that the employee has achieved maximum recovery, or that good reason […]
19.2004
(a) Applicability of certification or registration requirements. A person acting as or holding itself out as a URA under this subchapter must be certified or registered, as applicable, under Insurance Code §4201.057, concerning Health Maintenance Organizations; Insurance Code §4201.058, concerning Insurers; or Insurance Code §4201.101, concerning Certificate of Registration Required, and this subchapter. (1) If […]
127.5
(a) Order assigning a designated doctor. Within 10 days after approving a valid request, the division will issue an order that assigns a designated doctor and will notify the designated doctor, the treating doctor, if any, the injured employee, the injured employee’s representative, if any, and the insurance carrier that the designated doctor is directed […]
127.10
(a) Authorization to receive documents. The designated doctor is authorized under Labor Code §408.0041(c) to receive the injured employee’s confidential medical records and analyses of the injured employee’s medical condition, functional abilities, and return-to-work opportunities without a signed release from the injured employee to help resolve a dispute under this subchapter. The following requirements apply […]
127.15
(a) Communication about medical condition or history. To avoid undue influence on the designated doctor: (1) except as provided by §127.10(a) of this title (relating to General Procedures for Designated Doctor Examinations), only the injured employee or appropriate division staff may communicate with the designated doctor about the injured employee’s medical condition or history before […]
127.20
(a) Filing a clarification request. Parties may file a request with the division for clarification of the designated doctor’s report. (1) The requesting party must provide copies of the request to all parties. (2) The division may contact the designated doctor if it determines that clarification is necessary to resolve an issue regarding the designated […]
127.100
(a) Qualifications to get or renew certification. The division will not assign examinations to a designated doctor who does not meet all requirements for certification or renewal. All designated doctors must: (1) Have a complete designated doctor certification application as described in subsection (b) of this section on file with the division. (2) Complete all […]
127.110
Former Section, titled “Designated Doctor Recertification”, had the following source: “The provisions of this 127.110 adopted to be effective September 1, 2012, 37 TexReg 5422; amended to be effective November 4, 2018, 43 TexReg 7149.” Repealed by 48 TexReg 2123, effective April 30, 2023.
127.120
If the injured employee is temporarily located or resides out of state, the division may waive any of the requirements in this chapter for an out-of-state doctor to serve as a designated doctor to help timely resolve a dispute or perform a particular examination. The provisions of this 127.120 adopted to be effective September 1, […]
127.130
(a) Applicability. This section applies to designated doctor assignments made on or after June 5, 2023. (b) Qualification standards by type of injury or diagnosis. A designated doctor is qualified to perform a designated doctor examination on an injured employee if the designated doctor meets the appropriate qualification standard for the area of the body […]