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TITLE 28INSURANCE
PART 2TEXAS DEPARTMENT OF INSURANCE, DIVISION OF WORKERS' COMPENSATION
CHAPTER 180MONITORING AND ENFORCEMENT
SUBCHAPTER CMEDICAL QUALITY REVIEW PANEL
RULE §180.60Definitions

The following terms, when used in this subchapter, shall have the following meanings:

  (1) Doctor--As defined by Labor Code §401.011(17), a doctor of medicine, osteopathic medicine, optometry, dentistry, podiatry, or chiropractic who is licensed and authorized to practice.

  (2) Medical Case Review--A review of a particular case by a Medical Quality Review Panel (MQRP) member regarding professional medical services, delivery of health care, or the quality of a health care practitioner's opinion, recommendation or report. Medical case review includes but it is not limited to review of a treating doctor, peer review doctor, designated doctor, another health care practitioner, an independent review organization, an insurance carrier, or a utilization review agent.


Source Note: The provisions of this §180.60 adopted to be effective January 1, 2013, 37 TexReg 8839

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