The Texas Division of Workers’ Compensation helps to resolve disputes about the amount of payment due for health care that is medically necessary and appropriate to treat a compensable injury.
Medical dispute resolution rules
How to file for health care providers
Health care providers and pharmacy staff can now file requests for medical fee dispute resolution electronically.
- DWC Form-060, Medical Fee Dispute Resolution Request
- DWC offers these electronic filing options for forms and supporting documents:
- Email: MedFeeDispute-Submission@tdi.texas.gov
- Fax: 512-490-1044
- Secure File Transfer Protocol (SFTP). For more information, contact DWC at e-Filing- Help@tdi.texas.gov.
- Medical fee dispute resolution for health care providers (PowerPoint)
How to file for injured employees
- DWC Form-060 Medical Fee Dispute Resolution Request
- Medical fee dispute resolution for injured employees (PDF)
Cómo presentar la solicitud para empleados lesionados
- Formulario DWC-060s, Solicitud para Resolución de Disputas por Honorarios Médicos
- Resolución de disputas por honorarios médicos para empleados lesionados (PDF)
Medical fee dispute resolution decisions
|
Categories |
Active |
Abated |
|---|---|---|
|
Air Ambulance Services |
n/a |
2,063 |
|
Workers’ Comp Specific Services |
93 |
|
|
Professional Services |
84 |
|
|
Pharmacy Services |
69 |
|
|
Facility Services |
35 |
|
|
Denied Non-Compensable |
34 |
|
|
Other |
24 |
|
|
Totals |
339 |
2,063 |