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DWC Form 060 Medical Fee Dispute Resolution Request - Texas
What Is DWC Form 060?
This is a legal form that was released by the Texas Department of Insurance - a government authority operating within Texas. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is DWC Form 060?
A: DWC Form 060 is the Medical Fee Dispute Resolution Request form used in Texas.
Q: What is the purpose of DWC Form 060?
A: The purpose of DWC Form 060 is to request a resolution for disputes regarding medical fees.
Q: Who can use DWC Form 060?
A: DWC Form 060 can be used by healthcare providers, insurance carriers, or injured workers in Texas.
Q: What information is required on DWC Form 060?
A: DWC Form 060 requires information such as the parties involved, the specific dispute, and supporting documentation.
Q: What happens after submitting DWC Form 060?
A: After submitting DWC Form 060, the Texas Department of Insurance will review the dispute and make a determination.
Q: Is there a deadline for submitting DWC Form 060?
A: Yes, there is a deadline for submitting DWC Form 060. It should be submitted within one year from the date of service of the medical bill.
Form Details:
- Released on June 1, 2012;
- The latest edition provided by the Texas Department of Insurance;
- Easy to use and ready to print;
- Quick to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of DWC Form 060 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance.
Download DWC Form 060 Medical Fee Dispute Resolution Request - Texas
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