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MEDICAL CONTESTED CASE HEARING NO. 09161 M6091781901 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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Review the documentation provided by the hearing office.
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Fill out the required forms completely and accurately.
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Provide any supporting evidence or documentation that may help your case.
04
Prepare a statement outlining your reasons for contesting the medical decision.
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Attend the hearing in person or by phone as scheduled.

Who needs medical contested case hearing?

01
Individuals who have received a medical decision that they disagree with and wish to contest.
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A medical contested case hearing is a formal legal proceeding where parties can present evidence and arguments regarding a medical issue that is in dispute.
The party or parties involved in a medical dispute are required to file a medical contested case hearing.
To fill out a medical contested case hearing, the party must complete the necessary forms, submit documentation and evidence to support their case, and follow the guidelines provided by the relevant authorities.
The purpose of a medical contested case hearing is to resolve disputes related to medical issues in a fair and impartial manner.
The medical contested case hearing must include information about the parties involved, the nature of the medical issue in dispute, evidence supporting each party's position, and any relevant laws or regulations.
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