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.
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.
About this service
DWC reviews medical-fee disputes submitted by providers and qualifying injured employees concerning payment for health care for a compensable injury.
Other resources that may help
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