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At a Glance:
Title:
APD 041961
Date:
September 30, 2004

APD 041961

September 30, 2004

This appeal arises pursuant to the Texas Workers’ Compensation Act, TEX. LAB. CODE ANN. § 401.001 et seq. (1989 Act). A contested case hearing was held on July 6, 2004. The hearing officer determined that the decision of the independent review organization that the proposed spinal surgery is not medically necessary is supported by a preponderance of the evidence. Appellant (claimant) appealed this determination on sufficiency grounds, contending that he needs surgery. The file does not contain a response from respondent (carrier).

DECISION

We affirm.

We have reviewed the complained-of determination and conclude that the issue involved a fact question for the hearing officer. The hearing officer reviewed the record and decided what facts were established. We conclude that the hearing officer’s determination is supported by the record and is not so against the great weight and preponderance of the evidence as to be clearly wrong or manifestly unjust. Cain v. Bain, 709 S.W.2d 175, 176 (Tex. 1986).

We affirm the hearing officer’s decision and order.

According to information provided by carrier, the true corporate name of the insurance carrier is LUMBERMENS MUTUAL CASUALTY COMPANY and the name and address of its registered agent for service of process is

CORPORATION SERVICE COMPANY

800 BRAZOS

AUSTIN, TEXAS 78701.

Judy L. S. Barnes

CONCUR:

Daniel R. Barry
Appeals Judge

Robert W. Potts
Appeals Judge

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