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MEDICAL CONTESTED CASE HEARING NO. 11109 M6103044401 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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Make sure you have all relevant medical records ready.
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Attend any pre-hearing conferences or meetings to discuss the process.
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Who needs medical contested case hearing?

01
Individuals who have been denied medical benefits or treatment by their insurance provider.
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Patients who are seeking to challenge a medical decision made by a healthcare provider.
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A medical contested case hearing is a formal legal process in which disputes or disagreements regarding medical treatment, services, or decisions are resolved.
Any party involved in the medical dispute or disagreement may file a medical contested case hearing.
To fill out a medical contested case hearing, the party filing must complete the required forms and provide all relevant information and supporting documentation.
The purpose of a medical contested case hearing is to resolve disputes or disagreements regarding medical treatment, services, or decisions in a fair and impartial manner.
The medical contested case hearing must include details of the dispute, parties involved, relevant medical records, and any supporting documentation.
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