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At a Glance:
Requesting Dispute Review and Resolution

§ 42.305

Requesting Dispute Review and Resolution

(a) Either the carrier or the provider may request board review and resolution of a dispute arising over a medical bill under the following conditions:

(1) the charge has been incurred; and

(2) the carrier has admitted liability for compensation.

(b) For the purposes of this chapter, as required by Texas Civil Statutes, Article 8306, § 7b(q), the carrier will be deemed to have admitted liability for compensation until the carrier files with the board proper notice of a bona fide liability dispute.

The provisions of this § 42.305 adopted to be effective October 20, 1988, 13 TexReg 4998.

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