SECTION 42.305. Requesting Dispute Review and Resolution

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(a) Either the carrier or the provider may request board review and resolution of a dispute arising over a medical bill under the following conditions:
(1) the charge has been incurred; and
(2) the carrier has admitted liability for compensation.
(b) For the purposes of this chapter, as required by Texas Civil Statutes, Article 8306, §7b(q), the carrier will be deemed to have admitted liability for compensation until the carrier files with the board proper notice of a bona fide liability dispute.

Source Note: The provisions of this §42.305 adopted to be effective October 20, 1988, 13 TexReg 4998.

                    
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