Texas Department of Insurance

Workers' Compensation Resources for Insurance Carriers

• Billing, Reimbursement and EDI 
• Benefits 
• Certified Self Insurance 
• Complaints 
• Disability Management: Return to Work
• Dispute Resolution
• Performance Based Oversight
• Supplemental Income Benefits Application (SIBs) Process Changes
• Things You Need to Know 
• Workers' Compensation Health Care Networks
• Workers' Compensation in Texas
• Workplace Safety 

   Billing, Reimbursement and EDI

• Doctor Download file
• eBill - Electronic Medical Billing
• EDI Guide
• Improper Denials Based on Lack of Documentation
• Texas Clean Claim and eBill Workers' Compensation Companion Guide

   Benefits

• Benefits
• Indemnity Benefits
  • Indemnity Benefits (fact sheets)
  • Death and Burial Benefits
  • Maximum/Minimum Benefits
  • Discount/Interest Rates 
• Medical Benefits
  • CARF
  • Fee Guidelines 
  • Centers for Medicare and Medicaid Services website
• Networks   

   Certified Self Insurance 

• Self Insurance homepage
• Listing of Certified Self-Insurers
• Self Insurance Forms  

   Complaints

• Complaint Resolution form
• Reporting Your Complaint
• TDI Complaint Resolution at (800) 372-7713 or fax (512) 490-1030

   Disability Management: Return to Work

• Disability Management homepage
  • Disability Management Concept
  • Return to Work Guidelines
  • Treatment Guidelines
• Return to Work Pilot Program for Small Employers
  • DWC Form-8
  • Pilot Program Rules 

   Dispute Resolution

• Medical Disputes
• Indemnity Disputes
• Indemnity Dispute Settlement Guidance
• Information for Participants in a Benefit Review Conference
• Dispute Decisions  

   Performance Based Oversight

• 2009 Performance Based Oversight Assessment Results 
• System Monitoring & Oversight homepage   

   Things You Need to Know

• Contact Us
  • Contact Information
  • Customer Services  800-252-7031
  • Other Helpful Numbers
  • Central Office & Field Offices
  • Field Offices by County
• Carrier Forms 
  • Revised DWC Form-032, Request for Designated Doctor, and Quick Reference Guide for Designated Doctors
  • Plain Language Notices
  • DWC Form-027 - Carrier Representative Information Submission Form
  • Other DWC forms   
• Memos
  • Improper Denials Based on Lack of Documentation
  • Proof of Coverage Reporting Requirements 
• How to Request Public Information

   Workers' Compensation Health Care Networks 

• Informal and Voluntary Network Online Reporting
• Informal and Voluntary Network Data Report
• WCNET homepage

   Workers' Compensation in Texas

• About the Division of Workers' Compensation   
• Fact Sheets:
  • Workers’ Compensation in Texas
  • Employer Rights
  • Employer Responsibilities 
•  Notice of Injured Employee Rights and Responsibilities
• Texas Workers' Compensation Act and Rules

   Workplace Safety

• Occupational Health and Safety homepage
• Accident Prevention Services
• Electronic Inspection information
• Free Safety and Health Consultations
• Insurance Company Inspections
• Occupational Injury, Illness and Fatality data
• Peer Review Safety Recognition Program 
• Rejected Risk Program
• Subscribe to free email newsletter  

For more information contact: WorkersCompCustomerServices@tdi.state.tx.us