![]() Violation: Failed to timely file and/or accurately complete TDI-DWC forms, reports, or recordsĪmerisure Partners Insurance Company of Farmington Hills, MI Violation: Failed to comply with Commissioner’s Order to provide requested information about workers’ compensation coverage status Violation: Failed to comply with Texas Workers’ Compensation Act Violation: Failed to timely comply with a TDI-DWC order Harlandale Independent School District of San Antonio ![]() Violation: Failed to accurately submit medical bill and payment data Violation: Failed to accurately and timely submit electronic data interchange (EDI) records to TDI-DWCįlorists’ Mutual Insurance Company of Edwardsville, IL Violation: Failed to use a properly equipped medical facility for designated doctor examinationsĮl Paso County Hospital District of El Paso Violation: Failed to timely report medical electronic data interchange (EDI) records to TDI-DWCĪction Taken: Must cease designated doctor examinations at a specific location and must request the location for examinations be deleted from TDI-DWC system Violation: Provided treatment not in accord with applicable treatment guidelines and not within the standard of careĮast Texas Educational Insurance Association of Tyler of San AntonioĪction Taken: Fined $5,000 Must complete continuing education course on following medical guidelines Violation: Quality of health care provided not in compliance with statutory requirements Failed to report a disciplinary action on Designated Doctor applicationīurke, Douglas William D.C. Violation: Failed to timely pay income benefits to injured employee Violation: Failed to accurately report benefit data to TDI-DWC or accurately submit benefit data by electronic data interchange Violations cited in orders naming health care providers included failure to timely file and/or accurately complete TDI-DWC forms, reports or records. Violations cited in orders naming insurers included failure to timely pay a medical bill, failure to timely pay income benefits to an injured employee, and retrospectively reviewing the medical necessity of a preauthorized medical service or treatment. The final actions include orders related to violations of the Texas Labor Code and rules promulgated by the Commissioner of Workers’ Compensation. Austin, TX – Commissioner of Workers’ Compensation Rod Bordelon recently announced final disciplinary actions taken by the Texas Department of Insurance, Division of Workers’ Compensation (TDI-DWC).
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