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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