28 Tex. Admin. Code § 133.1 - Applicability of Medical Billing and Processing
(a) This chapter applies to medical billing
and processing for health care services provided to injured employees subject
to a workers' compensation health care network established under Insurance Code
Chapter 1305, and to injured employees not subject to such networks, with the
following exceptions pertaining only to health care services provided to an
injured employee subject to a workers' compensation health care network
established under Chapter 1305:
(1)
Subchapter D of this chapter (relating to Dispute of Medical Bills);
(2)
§
133.210(f) of
this chapter (relating to Medical Documentation); and
(3)
§
133.240(b) and
(i) of this chapter (relating to Medical
Payments and Denials).
(b) This chapter applies to all health care
provided on or after May 2, 2006. For health care provided prior to May 2,
2006, medical billing and processing shall be in accordance with the rules in
effect at the time the health care was provided.
Notes
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