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MEDICAL CONTESTED CASE HEARING NO. 13123 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 adopted

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How to fill out medical contested case hearing

01

Gather all relevant medical records and documents related to the case.

02

Review the notice of the contested case hearing to understand the procedures and deadlines.

03

Prepare a written statement detailing the reasons for challenging the decision and the specific medical evidence supporting your case.

04

Attend the hearing in person or with legal representation, ready to present your case and answer any questions from the administrative law judge.

05

Follow any post-hearing procedures, such as submitting additional evidence or written arguments as requested.

Who needs medical contested case hearing?

01

Individuals who have received a medical decision from a government agency or insurance company that they believe is incorrect or unfair.

02

Those who want to formally challenge the decision and present additional medical evidence to support their case.

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What is medical contested case hearing?

A medical contested case hearing is a legal proceeding where disputes related to medical issues are resolved by an impartial third party.

Who is required to file medical contested case hearing?

Anyone with a medical dispute that cannot be resolved informally is required to file a medical contested case hearing.

How to fill out medical contested case hearing?

To fill out a medical contested case hearing, you must provide details of the medical issue, parties involved, supporting documents, and proposed solutions.

What is the purpose of medical contested case hearing?

The purpose of a medical contested case hearing is to provide a fair and efficient way to resolve disputes related to medical issues.

What information must be reported on medical contested case hearing?

Information such as the nature of the medical issue, relevant medical history, details of parties involved, and any supporting documents must be reported on a medical contested case hearing.

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