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Austin Board Representative services: daily filing and distribution of DWC mail as required by Rule 156.1
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Dispute Resolution: BRC, CCH, and Appeals Panel; analysis letters/exchanges to designated doctors
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Medical Review Division: CCH’s of medical necessity disputes and IRO appeals; IRO responses, issues involving Health Care Networks pursuant to Chapter 1305 and election by political subdivision(s) for health care program under Texas Labor Code § 504.053
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Legal and Compliance: Notice of Administrative Violations; referrals for administrative violations; and referrals for Fraud investigations
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Self Insurance Regulation (SIR): filings for certificate to self-insure by employers, renewal of certification by self-insurer, and issues raised by the Texas Self Insurer Guaranty Association
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Appeals and hearings at the State Office of Administrative Hearings (SOAH)
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Requests for Reimbursement to the Subsequent Injury Fund for overpayment of benefits
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Investigations for catastrophic and/or death claims