Your FREE and easy resource for all things Texas workers' compensation
At a Glance:
Title:
09139
Date:
April 16, 2009
Status:
Medical Fees

09139

April 16, 2009

DECISION AND ORDER

This case is decided pursuant to Chapter 410 of the Texas Workers’ Compensation Act and Rules of the Division of Workers’ Compensation adopted thereunder.

ISSUES

A contested case hearing was held on April 16, 2009, to decide the following disputed issue:

  1. Is the preponderance of the evidence contrary to the decision of Medical Review that Petitioner/Subclaimant is not entitled to additional reimbursement in the amount of $1,651.80, plus applicable accrued interest for dates of service from September 4, 2007, through December 7, 2007?

PARTIES PRESENT

Petitioner/SubClaimant appeared and was represented by LS, lay person.

Respondent/Carrier appeared and was represented by attorney JC.

AGREEMENT

The parties reached agreement. The agreement resolves only the issue to be decided at this hearing. The agreement does not resolve all issues regarding this claim and is not a settlement.

In this decision, the Agreement section includes findings of fact, and the Decision section constitutes conclusions of law.

The Hearing Officer found that the Respondent/Carrier delivered to Petitioner/Subclaimant a single document stating the true corporate name of Respondent/Carrier and the name and physical address of Respondent/Carrier’s registered agent, which document was admitted into evidence as Hearing Officer’s Exhibit No. 2.

The parties agreed as follows:

The Petitioner/Subclaimant is entitled to additional reimbursement of medical fees in the

amount of $300.00, which is inclusive of any applicable accrued interest for

health care services provided for dates of service from September 4, 2007, through

December 7, 2007.

DECISION

Petitioner/Subclaimant is entitled to additional reimbursement of medical fees in the amount of

$300.00, which is inclusive of any applicable accrued interest for health care services provided

for dates of service from September 4, 2007, through December 7, 2007.

ORDER

Carrier/Respondent is ordered to pay benefits in accordance with this decision, the Texas Workers’ Compensation Act, and the Commissioner’s rules.

The true corporate name of the insurance carrier is NATIONAL FIRE INSURANCE OF HARTFORD, and the name and address of its registered agent for service of process is:

C T CORPORATION SYSTEM

350 N. ST. PAUL STREET

DALLAS, TEXAS 75201

Signed this 16th day of April, 2009

Cheryl Dean
Hearing Officer

End of Document
Top