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United States Department of Health and Human Services et al. Find out if your provider submits the claim for you or if you need to do it.If you need to do it, review the information to be sure it is complete and correct. Upon receiving the appeal, the case is set to be heard on the next available Full Board date; usually within three months. You may ask your insurance company to conduct a full and fair review of its decision. If the case is urgent, your insurance company must speed up this process. DHCS medical consultant. If specific medical services are disputed, the workers' compensation insurer must pay any undisputed portion. Providers are encouraged to try and resolve issues informally before initiating the formal provider claim dispute process. With some exceptions, health care practitioners are not required to complete training or apply to DWC to provide health care to Texas injured employees.