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At a Glance:
Title:
10130
Date:
January 25, 2010
Status:
Concurrent Medical Necessity

10130

January 25, 2010

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 January 14, 2010, with the record closing on January 25, 2010, to decide the following disputed issue:

  1. Is the preponderance of the evidence contrary to the decision of the IRO that the claimant is not entitled to twelve additional physical therapy visits for the compensable lumbar spine injury of ___________?

PARTIES PRESENT

Claimant appeared via telephone and was assisted by BO, ombudsman. Carrier appeared via telephone and was represented by PP, adjuster.

AGREEMENT

The parties reached an agreement. The agreement resolves only those issues to be decided at this hearing. The agreement does not resolve all issues with regard to this claim and is not a settlement.

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

The Hearing Officer found:

A. A single document stating the true corporate name of Carrier, and the name and street address of Carrier’s registered agent was admitted into evidence as Hearing Officer’s Exhibit Number 2.

The parties stipulated as follows:

  1. Venue is proper in the (City) Field Office of the Texas Department of Insurance, Division of Workers’ Compensation.
  1. On ___________, Claimant was the employee of (Employer).
  2. Claimant sustained a compensable injury on ___________.
  3. The IRO determined that Claimant should not have twelve additional physical therapy visits for the compensable lumbar spine injury of ___________.

The parties agreed as follows:

Claimant is entitled to six of the twelve additional physical therapy visits for the compensable lumbar spine injury of ___________.

DECISION

Claimant is entitled to six of the twelve additional physical therapy visits for the compensable lumbar spine injury of ___________.

ORDER

Carrier is ordered to pay benefits in accordance with this decision, the Texas Workers’ Compensation Act, and the Commissioner’s Rules. Accrued but unpaid income benefits, if any, shall be paid in a lump sum together with interest as provided by law.

The true corporate name of the insurance carrier is AMERICAN CASUALTY COMPANY OF READING, PA and the name and address of its registered agent for service of process is:

CT CORPORATION SYSTEM

350 NORTH ST. PAUL STREET

DALLAS, TX 75201

Signed this 25th day of January, 2010.

Jacquelyn Coleman
Hearing Officer

End of Document
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