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Retrospective Medical Necessity and Fee Dispute Tdi Texas  Form

Retrospective Medical Necessity and Fee Dispute Tdi Texas Form

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Hi, my name is Kelly and I’m with the Texas Department of Insurance, Division of Workers’ Compensation. There are differences between disputes and complaints in the Texas workers’ compensation system. Disputes are a disagreement between two parties. A complaint is a claim that someone violated the law. An example of a dispute would be an insurance company who denied your claim, or is not paying you benefits for the weeks that you were not able to work because of your injury. Another kind of dispute might come up if you do not agree with the date your benefits are ending, or maybe you disagree with a doctor’s opinion about the damage that the injury did to your body. A dispute could happen if the insurance company denies your medical benefits because they think the treatment wasn’t necessary, or maybe they only paid part of a doctor’s bill. If you file a dispute you could get a ruling that the insurance company has to pay you certain benefits. Again, disputes are a disagreem

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