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Court Clarifies Burden of Proof in Medical Fee Dispute Process

By WorkCompCentral

Thursday, December 6, 2018 | 131 | 0 | 262 min read

A Texas appellate court ruled that a workers’ compensation insurance carrier challenging a medical dispute resolution does not bear the burden of proving that a care provider was not entitled to recover the amount determined by an officer. Case: Facility Insurance Corp. v. Patients Medical Center, No. 03-17-00666-CV, 12/05/2018, published. Facts and procedural history: In August 2009, Patients Medical Center requested authorization to perform two surgical procedures on an injured worker whose employer had workers’ compensation coverage with the Facility Insurance Corp. The ...

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