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Texas Workers' Compensation Appeal Document

Appeal Decision

The hearing officer held that the appellant (claimant) was not entitled to supplemental income benefits (SIBs) for the third or fourth quarters of eligibility and that the employer tendered a bona fide offer of employment to the claimant -

Texas Workers' Compensation Appeal Decision

APPEAL NO. 022619

Texas Workers' Compensation Appeal Decision

Workers' Compensation Appeal Decision

Workers' Compensation Appeal Decision

PART I GENERAL INFORMATION Requestor's Name and Address MFDR Tracking # DWC Claim # Injured Employee M4-05-6304-01 - tdi texas

APPEAL NO. 012249

Appeal No. 022765

BIOGRAPHICAL AFFIDAVIT - PREMIUM FINANCE APPLICANT (FORM PF4)

Appeal No. 042756-s

Texas Workers' Compensation Appeals Decision

Texas Workers' Compensation Appeal Decision

Medical Fee Dispute Resolution, MS-48

APPEAL NO. 020414

Notice of Appeal for Texas Workers' Compensation

Medical Fee Dispute Resolution Findings and Decision

Health plan claim matching data request process - Texas ... - tdi texas

Texas Workers' Compensation Commission Appeal Decision

Appeal No. 040558

MEDICAL FEE DISPUTE RESOLUTION FINDINGS AND DECISION

APPEAL NO. 040246

Appeal No. 041999

MEDICAL CONTESTED CASE HEARING NO. 09052

PART I GENERAL INFORMATION Requestor Name and Address MFDR Tracking # DWC Claim # Injured Employee Date of Injury Employer Name Insurance Carrier # PART II REQUESTOR'S POSITION SUMMARY AND PRINCIPLE DOCUMENTATION Requestors' notice of - tdi

VISTA MEDICAL CENTER HOSPITAL 4301 VISTA ROAD PASADENA - tdi texas

Respondent Name and Box # DALLAS ISD REP BOX # 42 - tdi texas

Texas Workers' Compensation Appeal Decision

030654r.doc - tdi texas

PART I GENERAL INFORMATION Type of Requestor ( X ) Health Care Provider ( ) Injured Employee - tdi texas

Medical Contested Case Hearing Decision and Order

CERTIFICATE OF INSURANCE

MEDICAL CONTESTED CASE HEARING NO. 11088

MEDICAL CONTESTED CASE HEARING NO. 10017

APPEAL NO. 033153

020719 FILED MAY 6, 2002 This appeal arises pursuant to the Texas Workers' Compensation Act, TEX - tdi texas

Request to Get Reimbursed for Travel Costs.Request to Get Reimbursed for Travel Costs

MEDICAL CONTESTED CASE HEARING NO. 11144

Workers' Compensation Appeal Decision

Workers' Compensation Appeal Decision

APPLICATION FOR A FIREWORKS LICENSE AND/OR PERMIT

Currently Registered Branch Office Address Change Request form ... - tdi texas

Workers' Compensation Appeal Decision

APPEAL NO. 021003

030266r.doc - tdi texas

Workers' Compensation Appeal Decision

Requestors Position Summary Texas Mutual has determined that there is no maximum allowable reimbursement (MAR) for - tdi texas

texas appeal classification workers compensation form

Medical Fee Dispute Resolution, MS-48

Alternative Filing Form

PART I GENERAL INFORMATION Requestor's Name and Address - tdi texas

28 texas administrative code phone benefits form

Requestor Name and Address NISAL CORP PO BOX 24809 HOUSTON TX 77029 - tdi texas

Rate and Form Review Office Accident and Health Program Letter. Rate and Form Review Office Accident and Health Program Letter - tdi texas

Medical Fee Dispute Resolution Findings and Decision

TDI Use Only - tdi texas

Instructions to Insurers FINAL 12-14- 2007 GENERAL INSTR - tdi texas

APPEAL NO. 032909

Appeal Decision for Workers' Compensation Case

Texas Workers' Compensation Appeal Decision

Appeal No. 041270

MEDICAL CONTESTED CASE HEARING NO. 11008

Appeal of Workers' Compensation Case

Medical Fee Dispute Resolution Findings and Decision

Medical Dispute Resolution Findings and Decision

Appeal No. 020846

DILGER JR - tdi texas

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