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Provider Fails to Show Entitlement to Additional Reimbursement

Friday, September 9, 2022 | 0

A Texas appellate court overturned an award to a treatment provider for additional reimbursement for services rendered to an injured worker. Case: Facility Insurance Corp. v. Patients Medical Center, No. 03-17-00666-CV, 09/08/2022, published. Facts: On Aug. 19, 2009, a doctor with Patients Medical Center submitted a request to Facility Insurance Corp. for authorization to perform two treatments on an injured worker. A physician reviewer for UniMed Direct, the carrier’s agent, recommended approving the request. The PMC doctor performed the treatments on the injured work...

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