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Get Medical Review Of Texas - Texas Department Of Insurance - Tdi Texas

T: Name of URA/Payer: Name of Provider: M2-04-0183-01 Sentry Insurance a Mutual Co. (ER, Hospital, or Other Facility) Name of Physician: (Treating or Requesting) Salvador Baylan, MD October 30, 2003 An independent review of the above-referenced case has been completed by a medical physician board certified in family practice. The appropriateness of setting and medical necessity of proposed or rendered services is determined by the application of medical screening criteria published by Texas.

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