Sec. 413.055. INTERLOCUTORY ORDERS; REIMBURSEMENT. (a) The commissioner may enter an interlocutory order for the payment of all or part of medical benefits. The order may address accrued benefits, future benefits, or both accrued benefits and future benefits.
(b) The subsequent injury fund shall reimburse an insurance carrier for any overpayments of benefits made under an order entered under Subsection (a) if the order is reversed or modified by final arbitration, order, or decision of the commissioner or a court. The commissioner shall adopt rules to provide for a periodic reimbursement schedule, providing for reimbursement at least annually.
(c) A party that disputes an order entered under Subsection (a) is entitled to a hearing. The hearing shall be conducted by the State Office of Administrative Hearings in the manner provided for a contested case under Chapter 2001, Government Code. The order is binding during the pendency of the appeal.
Added by Acts 1999, 76th Leg., ch. 955, Sec. 6, eff. Sept. 1, 1999.
Amended by:
Acts 2005, 79th Leg., Ch. 265 (H.B. 7), Sec. 3.259, eff. September 1, 2005.
Structure Texas Statutes
Title 5 - Workers' Compensation
Subtitle A - Texas Workers' Compensation Act
Subchapter E. Implementation of Commission Powers and Duties
Section 413.051. Contracts With Review Organizations and Health Care Providers
Section 413.0511. Medical Advisor
Section 413.05115. Medical Quality Review Process
Section 413.0512. Medical Quality Review Panel
Section 413.05121. Quality Assurance Panel
Section 413.05122. Medical Quality Review Panel: Rules; Training
Section 413.0513. Confidentiality Requirements
Section 413.0514. Information Sharing With Occupational Licensing Boards
Section 413.0515. Reports of Chiropractor Violations
Section 413.052. Production of Documents
Section 413.053. Standards of Reporting and Billing