Texas community resource

Medical Fee Dispute Resolution

Texas Department of Insurance Division of Workers' Compensation

Administrative dispute process concerning the amount payable for medically necessary and appropriate workers' compensation health care.

TexasLegal AssistanceTexas workers' compensation health-care providers and qualifying injured employees statewide, including matters connected to the Central Texas counties.

Information last checked:

How to get help

Complete DWC Form-060 with the required supporting material and file it by an accepted method. The official page lists email, fax, mail, secure file transfer for providers, and in-person or delivery-service options.

Who this service helps

A health-care provider with a qualifying medical-fee dispute, or an injured employee who paid out of pocket, requested reimbursement from the carrier in writing, and received no response within 45 days, a denial, or less than the requested amount.

Where this service is available

Service area: Texas workers' compensation health-care providers and qualifying injured employees statewide, including matters connected to the Central Texas counties.

A service area describes where help is offered or who may be served. It is not necessarily the organization’s physical location.

Location and contact

P.O. Box 12050, Compliance and Investigations, Mail Code CI
Austin TX 78711
Travis County

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Source and verification

Source: Public-source listing

Information status: Source freshness recheck recommended

Public-source details may be outdated. Confirm current information with the provider.

About this service

DWC reviews medical-fee disputes submitted by providers and qualifying injured employees concerning payment for health care for a compensable injury.

Before you contact this provider

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