- (a) The ground rules and the medical service standards and limitations as established by the fee guidelines shall be used to properly calculate the payments due to the health care providers.
- (b) Health care providers shall bill the insurance carrier for all compensable injuries in accordance with the fee guidelines established by the commission. The health care provider shall bill the insurance carrier for the health care treatments and services performed, and medically necessary to relieve the effects of the compensable injury and promote recovery.
- (c) Reimbursement for services not identified in an established fee guideline shall be reimbursed at fair and reasonable rates as described in the Texas Workers' Compensation Act, §413.011 until such period that specific fee guidelines are established by the commission.
Source Note:The provisions of this §134.1 adopted to be effective October 7, 1991, 16 TexReg 5210; amended to be effective May 16, 2002, 27 TexReg 4047.