Texas Request To Schedule, Reschedule, Or Cancel A Benefit Review Conference To Appeal A Medical Fee Dispute Decision
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How to fill out Texas Request To Schedule, Reschedule, Or Cancel A Benefit Review Conference To Appeal A Medical Fee Dispute Decision?
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FAQ
If you are an injured employee who wants to appeal the decision or file a response to an appeal and you do not have an attorney, you can get free help from an ombudsman at the Office of Injured Employee Counsel (OIEC). Call OIEC at 866-393-6432 or go to the OIEC website for more information.
The rule is that you can dispute an impairment rating by either requesting a Benefit Review Conference or requesting a designated doctor (DD). In both instances you should note on the form that you are disputing the impairment rating that you already received.
Petition for Reconsideration. An employee may file this appeal with the Workers' Compensation Appeals Board (WCAB) to request a review of the decision made by the claims administrator or insurance carrier. This petition must be filed within one year of the date of denial.
If the parties can't agree about a claim, they can ask for a BRC. This is an informal meeting. You, along with your attorney or ombudsman, will meet with someone from the insurance carrier and a DWC benefit review officer to talk about the dispute.
Call OIEC at 866-393-6432 or go to the OIEC website for more information.
You can get more information about the medical fee dispute resolution process by calling the TDI-DWC Medical Fee Dispute Resolution Section at (512) 804-4812 or e-mailing mdrinquiry@tdi.texas.gov. You can also access the medical fee dispute resolution rules on the TDI website at .