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MEDICAL CONTESTED CASE HEARING NO. 11132 M6113132601 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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01
Review the guidelines and procedures for filling out a medical contested case hearing form.
02
Provide all relevant medical records and evidence to support your case.
03
Clearly state the reasons for contesting the medical decision.
04
Submit the completed form and supporting documents to the appropriate authority within the designated timeframe.
05
Attend the scheduled hearing and present your case effectively.

Who needs medical contested case hearing?

01
Individuals who have received a medical decision that they believe is inaccurate or unfair.
02
Individuals who want to challenge a denial of medical treatment or benefits.
03
Individuals who want to appeal a medical decision made by a government agency or insurance provider.
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A medical contested case hearing is a formal proceeding where evidence is presented to resolve disputes involving medical issues.
Anyone who feels that they have been unfairly treated in a medical decision may file a medical contested case hearing.
To fill out a medical contested case hearing, one must provide detailed information about the medical issue in dispute and any supporting evidence.
The purpose of a medical contested case hearing is to fairly resolve disputes related to medical decisions.
Information such as medical records, expert opinions, and statements from witnesses may need to be reported on a medical contested case hearing.
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