This version of the form is not currently in use and is provided for reference only. Download this version of Form LHL705 for the current year.

Form LHL705 Workers' Compensation Health Care Network Application - Texas

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What Is Form LHL705?

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 the Form LHL705?
A: Form LHL705 is the Workers' Compensation Health Care Network Application specific to the state of Texas.

Q: What is Workers' Compensation?
A: Workers' Compensation is a type of insurance that provides medical benefits and wage replacement to employees who are injured or become ill as a result of their job.

Q: What is a Health Care Network?
A: A Health Care Network is a group of healthcare providers that have contracted with an insurance company or employer to provide medical services to injured workers.

Q: Why do I need to fill out the Form LHL705?
A: You need to fill out the Form LHL705 to apply for participation in the Workers' Compensation Health Care Network in Texas.

Q: Are there any eligibility requirements for the Workers' Compensation Health Care Network?
A: Yes, there are eligibility requirements that healthcare providers must meet to participate in the Workers' Compensation Health Care Network.

Form Details:

Released on October 1, 2022;
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 Form LHL705 by clicking the link below or browse more documents and templates provided by the Texas Department of Insurance.