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[PDF File]Health care network information | As of January 1, 2018
https://info.5y1.org/workwell-texas-mutual_1_a81211.html
in partnership with Texas Mutual Insurance Company, a workers’ compensation insurance carrier. WorkWell, TX will manage the health care and treatment you may receive if you are injured on the job or diagnosed with an occupational illness while employed here. WorkWell, TX doctors are trained
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[PDF File]MEDICAL FEE DISPUTE RESOLUTION FINDINGS ... - …
https://info.5y1.org/workwell-texas-mutual_1_2cac25.html
WorkWell Network.” Response Submitted by: Texas Mutual Insurance SUMMARY OF FINDINGS Dates of Service Disputed Services Amount In Dispute Amount Due November 19, 2018 Outpatient hospital services $616.53 $0.00 FINDINGS AND DECISION This medical fee dispute is decided pursuant to Texas Labor Code §413.031 and applicable rules of the Texas
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[PDF File]TEXAS MUTUAL WORKERS COMPENSATION NETWORK …
https://info.5y1.org/workwell-texas-mutual_1_7c24cc.html
TEXAS MUTUAL WORKERS’ COMPENSATION NETWORK PROVIDER INFORMATION EFFECTIVE JANUARY 1, 2018 The district has chosen Texas Mutual as our workers’ comp carrier with uses the Workwell Network to provide health care to employees who are injured at work.
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[PDF File]PEARLAND INDEPENDENT SCHOOL DISTRICT WORKERS’ …
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some reason it is after HRS office hours the employee or employer representative can call Texas Mutual Insurance at 1-800-859-5995 to report the injury and a claim number can be provided at that time. Please note: District Contact person for Workers’ Compensation is Victoria Trevino, Benefits Specialist, at
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[PDF File]EMPLOYER’S WAGE STATEMENT (DWC Form-003) - …
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wage statement as required by the Texas Workers' Compensation Act, Texas Labor Code, Section 408.063(c) and Worker’s Compensation Rule 120.4 may be assessed an administrative penalty. The employer shall timely file a complete wage statement in the form and manner prescribed by the Division.
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[PDF File]As of January 1, 2018 - Texas Mutual Insurance Company
https://info.5y1.org/workwell-texas-mutual_1_698490.html
At Texas Mutual Insurance Company, we are committed to the safety of Texas workers. WorkWell, TX serves as an extension of that commitment, ensuring quality care for employees who are injured on the job. WorkWell, TX is a workers’ compensation health care network certified by the state of Texas…
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[PDF File]TEXAS INJURY REPORTING PROTOCOL - Employer Flexible
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Signed copy of Last Page in the “TX Workwell Employee Notice of NetworkRequirements” packet. (Employee will retain the remainder of the document) Supervisor Injury Reporting Requirements 2. Immediately call the Employer Flexible Risk Management Department at 888-983-5881 if the employee is seeking medical attention.
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[PDF File]Employee Injury Reporting Requirements
https://info.5y1.org/workwell-texas-mutual_1_59149c.html
Signed copy of Last Page in the “TX WorkWell Employee Notice of Network Requirements” packet. (Employee will retain the remainder of the document) Supervisor Injury Reporting Requirements 1. Immediately call the Employer Flexible Risk Management Department at 888-983-5881 if the employee is seeking medical attention.
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Texas Health Care Provider Network (TX HCN)
Texas Department of Insurance. Your complaint must include your name, One or more of the CNA companies provide the products and/or services described. The information is intended to present a general overview for illustrative purposes only. It is not intended to constitute a binding contract.
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[PDF File]Employee Acknowledgment of Workers’ Compensation Network
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• Texas Mutual will pay the treating doctor and other network providers for the treatment for my compensable injury. • I may have to pay the bill if I get health care from someone other than a network doctor without prior network approval. To the employer:
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Workwell texas mutual