Form DWC060 Medical Fee Dispute Resolution Request - Texas

What Is Form DWC060?

This is a legal form that was released by the Texas Department of Insurance - Division of Workers' Compensation - 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 the DWC060 Medical Fee Dispute Resolution Request?
A: The DWC060 Medical Fee Dispute Resolution Request is a form used in Texas to request resolution of disputes regarding medical fees.

Q: Who can use the DWC060 Medical Fee Dispute Resolution Request?
A: This form can be used by medical providers, insurance carriers, injured employees, and other parties involved in a dispute over medical fees in Texas.

Q: What information is required on the DWC060 form?
A: The form requires information such as the parties involved, the nature of the fee dispute, and any supporting documentation.

Q: What is the purpose of the DWC060 form?
A: The purpose of the DWC060 form is to initiate the process of resolving disputes over medical fees in Texas through the Division of Workers' Compensation.

Q: What happens after submitting the DWC060 form?
A: After submitting the DWC060 form, the Division of Workers' Compensation will review the information and may schedule a medical fee dispute resolution conference.

Q: Are there any fees associated with filing the DWC060 form?
A: There are no fees associated with filing the DWC060 form.

Q: What should I do if I have questions about the DWC060 form or the dispute resolution process?
A: If you have questions, you can contact the Division of Workers' Compensation for assistance.