453-05-6736-m4
DECISION AND ORDER HCA Healthcare (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 based on […]
453-05-7868-m4
DECISION AND ORDER Employers Insurance Company of Wausau (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 Presbyterian Hospital of Plano (Provider) for a hospital stay provided to Claimant, an injured worker. Carrier argued that reimbursement […]
453-05-7876-m4
DECISION AND ORDER Liberty Mutual Fire 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 Corpus Christi Medical Center (Provider) for a hospital stay provided to Claimant, an injured worker. Although the parties agree […]
453-05-6483-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] concluding that it owed additional reimbursement to Provider for a hospital stay provided to Claimant, an injured worker. Carrier argued that the Stop-Loss Exception […]
453-05-7782-m4
DECISION AND ORDER Mid-Century 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 paid to Spring Branch Medical Center (Provider) for a hospital stay provided to Claimant, an injured worker. Provider also requested a hearing […]
453-05-8033-m4
DECISION AND ORDER Southwest Texas Methodist 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 […]
453-05-6409-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 […]
453-05-6531-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 […]
453-05-1679-m4
DECISION AND ORDER Liberty Mutual Fire Insurance Company (Carrier) requested a hearing on an October 8, 2004 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.[2] MRD […]
453-05-6402-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 […]