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MEDICAL CONTESTED CASE HEARING NO. 10183 M6102565401 DECISION AND ORDER This case is decided pursuant to Chapter 410 of the Texas Workers Compensation Act and Rules of the Division of Workers Compensation
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To fill out the WHO IS form on https://www.tditexas.gov/medcases, follow these steps:
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Open your web browser and go to the website https://www.tditexas.gov/medcases.
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On the homepage, locate and click on the 'WHO IS' form link.
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Read the instructions provided on the form carefully.
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Start filling out the form by entering your personal information such as full name, date of birth, and contact details.
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Provide the required information about the medical case, including the name of the patient, their condition, and any relevant medical history.
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Double-check all the entered information for accuracy and completeness.
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Anyone who is involved in a medical case and requires the assistance or intervention of the Texas Department of Insurance needs to fill out the WHO IS form.
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The website who ishttpswww.tdi.texas.gov/medcases is used for reporting medical cases to the Texas Department of Insurance.
Healthcare providers, hospitals, and other medical facilities are required to file medical cases on the website.
To fill out the medical cases on the website, healthcare providers need to create an account, enter the required information, and submit the report online.
The purpose of the website is to track and monitor medical cases in Texas to ensure proper treatment and care for patients.
Information such as patient details, diagnosis, treatment provided, and outcome must be reported on the website.
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