The Texas Division of Workers' Compensation has adopted new general rules for medical billing and processing for voluntary and or informal networks including changes to Rule 133.2, 133.4, and 133.5.

The Division held its final PBO Working Group Meeting to discuss the DWC staff paper on the 2009 PBO assessment process. The Legislature required the Division to place selected insurance companies and health care providers in one of three tiers: high p ...

Pursuant to HB 724, HB 1003, and HB 2004, medical necessity or medical fee disputes must now go through a proper hearing before parties can seek judicial review.  For all medical fee disputes above $2,000.00 and all medical necessity disputes abov ...

The Division has issued informal draft rules for subclaims when the health care insurer seeks reimbursement (rather than the health care provider).  Generally, the proposed rules track the language of the statute with the following additions.