DialClerk Directory

Texas Mutual Insurance Company (workers compensation)

Denials, appeals and grievances

Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

fax appeals

Request for reconsideration of a final bill action (fax)

Official page read
Phone

No phone listed for this route

Fax

512-224-3889

Reconsideration requests (provider appeals of bill payment)

Published hours

Not published in this record

Product, plan and location

workers comp
Texas

Mailing address

Not researched for this route

Per the provider FAQ, a request for reconsideration goes by fax and must include a copy of the original bill, the EOB and a claim-specific explanation under DWC Rule 133.250. Providers have 10 months from date of service to appeal. Medical fee disputes go to the Texas Department of Insurance, not this fax. Workers' compensation: a claim number and the adjuster or injured-worker identification are usually required; coverage is determined by the claim (not by a member ID), and state fee schedules and rules govern billing.

View source ↗ · Source checked 2026-10-25

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Find appeal teams, faxes and mailing addresses. Use the denial notice to confirm the appeal level, filing deadline and recipient.

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  • Denial notice, remittance and reason codes
  • Previous appeal confirmation and decision
  • Supporting evidence and any required authorization to represent the member

Questions to resolve

  • Is this a claim correction, provider dispute or member appeal?
  • What deadline and submission channel apply to this case?
  • How can the office confirm receipt and track the decision?

This is a general administrative checklist, not payer policy or advice about a particular patient. Confirm the current plan instructions.

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A request does not create an account or start a call. Use business contact information only. No patient information.

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