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Texas Department of Insurance, Division of Workers' Compensation Medical Fee Dispute Resolution, MS-48 7551 Metro Center Drive, Suite 100 Austin, Texas 78744-1609 MEDICAL FEE DISPUTE RESOLUTION FINDINGS

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What is part i general information?

Part I General Information is a section of a form that gathers basic information about the filer.

Who is required to file part i general information?

All individuals or organizations who are required to submit the form are also required to fill out Part I General Information.

How to fill out part i general information?

Part I General Information should be completed by providing accurate and up-to-date information in the designated fields of the form.

What is the purpose of part i general information?

The purpose of Part I General Information is to collect essential details about the filer to ensure proper identification and establish a basis for further reporting.

What information must be reported on part i general information?

Part I General Information typically includes details such as the filer's name, address, contact information, and other relevant identification data.

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