[DOWNLOAD] "Royal Insurance v. Department of Labor and Industry" by Pennsylvania Commonwealth Court # eBook PDF Kindle ePub Free

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eBook details

• Title: Royal Insurance v. Department of Labor and Industry
• Author : Pennsylvania Commonwealth Court
• Release Date : January 12, 1999
• Genre: Law,Books,Professional & Technical,
• Pages : * pages
• Size : 65 KB

Description

SUBMITTED: November 13, 1998 Royal Insurance (Insurer) petitions this Court for review of an order entered by a hearing officer of the Department of Labor and Industry, Bureau of Workers' Compensation (Bureau), granting payment to The Spine Center (Provider) for the medical treatment it provided to Dorothy Williams (Employee). In its petition for review, Insurer requests that the Bureau's order be reversed and dismissed, that a stay be granted pending final determination by the Workers' Compensation Judge (WCJ) or that a remand before the hearing officer be ordered to permit Insurer to present new evidence. Insurer questions whether a hearing officer presiding over a medical fee review proceeding has the authority to order payment of bills for medical treatment which has not yet been determined to be related to a compensable work injury. On March 10, 1997, Provider filed an application for medical fee review pursuant to Section 306(f.1) of the Workers' Compensation Act (Act)1 seeking reimbursement from Insurer for the cost of medical treatment provided to Employee on December 20 and 27, 1996. On July 15, 1997, the Bureau issued an administrative decision on the fee review, granting payment to Provider. Insurer filed a request for a hearing de novo seeking review of the administrative decision by the Bureau's fee review hearing office. At the hearing, Insurer argued that the WCJ had not yet determined whether the bills were related to the compensable work injury and, therefore, that the fee determination should be held in abeyance pending the WCJ's decision. Provider countered by asserting that Insurer had not presented evidence to show that the issue of causal relatedness was preserved before the WCJ and, as a result, payment of the medical bills should be ordered.

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