28 Tex. Admin. Code § 42.75 - Excess Recovery from Third Party Actions
(a)
When an injured worker has received an excess recovery in a third party action,
pursuant to Texas Civil Statutes, Article 8307, §6a(c), the carrier shall
immediately:
(1) notify all providers of the
date of the judgment or agreed judgment, and the amount of the excess;
and
(2) file a copy of the judgment
or agreed judgment with the board.
(b) The provider shall continue to submit
reports as required by these sections.
(c) Bills for services and supplies provided
after the judgment date shall be sent to the injured worker, or his or her
representative. Copies of such bills shall be filed with the carrier.
(d) The claimant shall notify the board, the
carrier, and current health care providers when the amount of the excess has
been reduced to zero. Upon receipt of such notice, the provider(s) shall resume
billing only the carrier, pursuant to §
42.30 of this title (relating to
Written Communications).
Notes
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