1 Tex. Admin. Code § 61.501 - Payment of Medical Bills
(a) All bills
for emergency medical treatment, medical, psychiatric care or counseling, and
all bills of health care service providers must be itemized and submitted on a
form approved by the OAG. If a collateral source is available, the explanation
of benefits (EOB) showing the utilization of collateral sources must be
attached.
(b) Health care service
providers shall be reimbursed according to the Texas Department of Insurance,
Division of Workers' Compensation allowable medical fee guidelines, where
applicable.
(c) Services not
covered under the medical fee guidelines that the OAG deems reasonably and
necessarily incurred as a result of the criminally injurious conduct may be
compensated at a fair and reasonable amount.
Notes
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