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More than half of the insurers providing workers compensation insurance in Texas are “average” performers, according to a report released Wednesday by the Texas Division of Workers’ Compensation.
The 2020 Insurance Carrier Performance Based Oversight assessment reviewed carrier performance by five measures: paying initial temporary income benefits, processing initial medical bills, processing requests for reconsideration of medical bills, submitting initial payment data by electronic data interchange, and submitting medical bill processing data.
The division reviewed 120 insurers and found that 44 had scores placing them in the high performer tier, 76 were in the average performer tier, and four had a score placing them in the poor performer tier.
Three out of four injured employees reported that their work-related medical care was the same or better than the medical care they normally receive when injured or sick, according to a study released Wednesday on the state of medical networks in the Texas workers compensation system.