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  3. Subchapter B. Medical Services and Fees


Subchapter B. Medical Services and Fees


  • Section 413.011. Reimbursement Policies and Guidelines; Treatment Guidelines and Protocols
  • Section 413.0111. Processing Agents
  • Section 413.0112. Reimbursement of Federal Military Treatment Facility
  • Section 413.0115. Requirements for Certain Voluntary or Informal Networks
  • Section 413.012. Medical Policy and Guideline Updates Required
  • Section 413.013. Programs
  • Section 413.014. Preauthorization Requirements; Concurrent Review and Certification of Health Care
  • Section 413.0141. Initial Pharmaceutical Coverage
  • Section 413.015. Payment by Insurance Carriers; Audit and Review
  • Section 413.016. Payments in Violation of Medical Policies and Fee Guidelines
  • Section 413.017. Presumption of Reasonableness
  • Section 413.018. Review of Medical Care if Guidelines Exceeded
  • Section 413.019. Interest Earned for Delayed Payment, Refund, or Overpayment
  • Section 413.020. Division Charges
  • Section 413.021. Return-to-Work Coordination Services
  • Section 413.022. Return-to-Work Reimbursement Program for Employers; Fund
  • Section 413.023. Information to Employers
  • Section 413.024. Information to Employees
  • Section 413.025. Return-to-Work Goals and Assistance
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