Comp Connection for Health Care Providers
The Texas Department of Insurance, Division of Workers’ Compensation (TDI-DWC) has established a telephone help line, Comp Connection for Health Care Providers, 1-800-372-7713, extension 3 (512-804-4000 in the Austin area), to provide one-on-one assistance to the health care provider community who serve injured employees.
Health care providers can obtain practical information and guidance on issues commonly encountered when treating injured employees, such as:
- treatment guidelines;
- billing and reimbursement;
- workers’ compensation forms;
- licensing and certification requirements, and
- monitoring, compliance and enforcement.
Options on the 800-372-7713 telephone number include:
- Comp Connection for Health Care Providers
- Designated Doctor Scheduling (512-804-4380 in Austin)
- Insurance Coverage (512-804-4345 in Austin)
- Medical Fee Dispute Resolution (512-804-4812 in Austin)
eNews
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Workers' Compensation Resources for Health Care Providers
- Disciplinary Orders Against Health Care Providers (HCPs)
- Billing and Reimbursement
- Comp Connection for Health Care Providers
- Complaints
- Designated Doctor Resources and Information
- Dispute Resolution
- Find a Doctor
- Helpful E-mail Addresses and Websites for Providers
- Impairment Rating Doctor Training
- Office of the Medical Advisor
- Performance Based Oversight
- Pharmacy
- Things You Need to Know
- Training and Resources
- Treatment and Return to Work Guidelines
- Workers' Compensation Health Care Networks
- Workers' Compensation in Texas
Billing and Reimbursement
- eBill (Electronic Medical Billing) homepage
- Clean Claim and eBill Workers' Compensation Companion Guide
- Fee Guidelines
- Commissioner’s Bulletin No. B-0044-11 - Changes to Conversion Factors for Workers’ Compensation Medical Fee Guidelines 28 TAC ยง134.203 Medical Fee Guideline for Professional Services Chapter 134 – Benefits – Guidelines for Medical Services, Charges and Payments Subchapter C. Medical Fee Guidelines
- Medical Fee Guidelines Frequently Asked Questions
- Health Care Provider/Medical Forms Home Page
- CMS 1500 form information (CMS website)
- Preauthorization
- Memos
- External Resources (for more see Helpful E-mail Addresses and Websites for Providers)
- Claim adjustment reason codes, see: Washington Publishing Company EDI Resources at http://wpc-edi.com/reference/codelists/healthcare/claim-adjustment-reason-codes/.
- Dental, home health and some DME: see the Texas Medicaid and Healthcare Partnership website at http://www.tmhp.com/default.aspx
- Durable medical equipment: see the Cigna Government Services website at http://www.cgsmedicare.com/
- Non-DWC specific coding and billing issues: see the CMS website at http://www.cms.hhs.gov/
- Professional services (covers most professional services): see the Novitas Solutions, Inc. website at https://www.novitas-solutions.com/
Complaints
- Complaint Resolution form
- Fast Facts: Disputes and Complaints in the Workers’ Compensation System
- Reporting Your Complaint
- TDI Complaint Resolution at 512-804-4700 or fax 512 490-1030
Dispute Resolution
- Fast Facts: Disputes and Complaints in the Workers’ Compensation System
- Medical Fee Dispute Resolution (contact MFDR staff at 512-804-4812)
- Medical Necessity - For information about the Medical Dispute Resolution by Independent Review Organizations (IRO) process see the IRO web-page.
- Letter of Clarification (LOC)
- Participating in a Benefit Review Conference
Performance Based Oversight
Things You Need to Know
- TDI-DWC Contact Information
- Customer Services 800-252-7031
- Other Helpful Numbers
- Central Office & Field Offices
- Field Offices by County
- Healthcare Provider FAQs
- Health Care Provider/Medical Forms Home Page
- Sample Notice for Health Care Provider re: Date of Maximum Medical Improvement (MMI) and Impairment Rating Assigned in English, Spanish, Chinese, Vietnamese (PDF, Word)
- Commissioner Bulletin B-0052-07 - Retaining the Statement of Pharmacy Services (DWC-66)
- Fast Facts: Medical Forms
- Providing Health Care to Injured Employees
- How to Request Public Information
Training and Resources
- Basic Workers’ Compensation for Medical Office Staff -check the events calendar for a seminar in your area.
- Designated Doctor and Impairment Rating Education
- Events & Training Calendar / Educational Session News Releases
- FastFacts for Health Care Providers
- Fee Guidelines Information
Treatment and Return to Work Guidelines (Disability Management)
- Treatment and Return to Work Guidelines
- Disability Management homepage
- Return to Work homepage
- Official Disability Guidelines Overview
Workers' Compensation Health Care Networks
Workers' Compensation in Texas
- Overview of the Workers' Compensation System
- Fast Facts: Financial Disclosure
- About the Division of Workers' Compensation
- Texas Workers' Compensation Act and Rules
- Workers' Compensation in Texas Fact Sheet
For more information contact:
Last updated: 05/06/2013
