453-04-8256-m5
DECISION AND ORDER This case is an appeal by Darin J. Mitchell, D.C. (Petitioner or Provider), from a decision of an independent review organization (IRO) on behalf of the Texas Workers’ Compensation Commission (Commission) in a dispute regarding medical necessity for chiropractic treatment. The IRO found that the insurer, Liberty Mutual Fire Insurance Company (Respondent […]
453-03-3650-m5
DECISION AND ORDER Texas Mutual Insurance Company (Carrier) requested a hearing to contest the May 8, 2003, Findings and Decision of the Medical Review Division of the Texas Workers= Compensation Commission (Commission) authorizing reimbursement to First Rio Valley Medical, P.A., (Provider) for focused established office visits,[1] aquatic therapy,[2] and therapeutic exercises[3] provided on February 6, […]
453-03-3680-m5
DECISION AND ORDER Texas Mutual Insurance Company (Carrier) requested a hearing to contest the May 12, 2003, Findings and Decision of the Medical Review Division of the Texas Workers’ Compensation Commission (Commission) authorizing reimbursement to First Rio Valley Medical, P.A., (Provider) for aquatic therapy,[1] focused established office visits,[2] therapeutic exercises[3] and massage therapy[4] provided from […]
453-04-0013-m5
DECISION AND ORDER Texas Mutual Insurance Company (Petitioner) requested a hearing to contest the July 22, 2003, Findings and Decision of the Texas Workers’ Compensation Commission (Commission) authorizing reimbursement for office visits,[1] therapeutic exercises,[2] aquatic therapy,[3] phonophoresis and phonophoresis cream,[4] massage therapy,[5] diagnostic interview,[6] and preparation of report[7] from January 28, 2002, through May 7, […]
453-04-5234-m5
DECISION AND ORDER This case arose from requests for hearing filed by both the provider of medical services, Eric A. VanderWerff, D.C. (Dr. VanderWerff), and the carrier, Liberty Mutual Fire Insurance Company (Liberty), following a Medical Review Division decision and an Independent Review Organization (IRO) decision relating to chiropractic services provided to an injured worker. […]
453-03-3586-m5
DECISION AND ORDER Texas Mutual Insurance Company (Carrier) requested a hearing to contest the April 30, 2003, Findings and Decision of the Medical Review Division of the Texas Workers= Compensation Commission (Commission) authorizing reimbursement of $4,395.00 to First Rio Valley Medical, P.A., (Provider) for aquatic therapy,[1] focused established office visit,[2] supplies,[3] phonophoresis,[4] ultrasound,[5] and therapeutic […]
453-04-6628-m5
DECISION AND ORDER Texas Mutual Insurance Company (Carrier) requested a hearing to contest the May 13, 2004, Findings and Decision of the Texas Workers’ Compensation Commission (Commission) authorizing reimbursement of $1,201.69 to First Rio Valley Medical P.A. (Provider) for established patient focused office visits,[1] aquatic therapy,[2] sterile whirlpool therapy,[3]and massage therapy[4] from October 22, 2003, […]
453-02-2745-m5
DECISION AND ORDER Texas Mutual Insurance Company (Carrier) requested a hearing to contest the February 20, 2003, Findings and Decision of the Medical Review Division of the Texas Workers’ Compensation Commission (Commission) authorizing reimbursement of $382.00 to First Rio Valley Medical P.A. (Provider) for aquatic therapy[1] and therapeutic exercises[2] provided on October 11 and 12, […]
453-03-3244-m5
DECISION AND ORDER First Rio Valley Medical, P.A. (Provider) requested a hearing to contest the April 22, 2003, Findings and Decision of the Medical Review Division of the Texas Workers’ Compensation Commission (Commission) authorizing reimbursement to First Rio Valley Medical, P.A. (Provider) for office visits,[1] aquatic therapy,[2] sterile whirlpool,[3] electrical stimulation,[4] massage therapy[5] and therapeutic […]
453-04-0360-m5
DECISION AND ORDER Texas Mutual Insurance Company (Carrier) requested a hearing to contest the July 29, 2003, Findings and Decision of the Texas Workers= Compensation Commission (Commission) authorizing reimbursement of $2,682.00 to First Rio Valley Medical, P.A. (Provider) for established patient focused office visits,[1] aquatic therapy,[2] massage therapy,[3] therapeutic exercises,[4] phonophoresis,[5] phonophoresis cream,[6] and a […]