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DWC072, Medical Quality Review Panel Application Rev. Download Medical Quality Review Panel Application (DWC072) – Insurance (Texas) form.A diverse panel of national healthcare equity experts has been charged to review the submitted Tyson Award applications and select the award recipient. Following submission of the application, the trauma center will receive an email confirmation receipt. Complete Pre-Review Questionnaire (PRQ). Health Care Service or Services: Services or items for which payment may be made (in whole or in part) under the Medicare or State health care programs. More Medicaid renewal information and resources. Access Your Health Information Through a Third-Party App. More Medicaid renewal information and resources. Access Your Health Information Through a Third-Party App.