(a) This subchapter applies to all insurance carriers as defined in Labor Code § 401.011(27), including insurance carriers that have contracted with or established a workers’ compensation health care network as defined in Labor Code § 401.011(31-a) and insurance carriers that provide medical benefits in a manner authorized by Labor Code § 504.053(b)(2). All insurance carriers are required to report information prescribed by the commissioner under Labor Code § 413.007 and § 413.008 for each medical bill on a workers’ compensation claim.
(b) This section is effective September 1, 2011. Insurance carriers and trading partners may submit medical EDI records in accordance with this subchapter prior to this effective date.
The provisions of this §134.800 adopted to be effective September 1, 2011, 36 TexReg 4136.