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Case Name | Legion Insurance Co. v. BWC | |
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Date | 01/10/2012 | |
Note | An insurer cannot deny a provider's request for payment because the provider used a temporary non-Medicare code on a services invoice. | |
Citation | 828 C.D. 2011 | |
WCC Citation | WCC 10582012 PA |
Legion Insurance Company c/o Inservco, Petitioners, v. Bureau of Workers' Compensation Fee Review Hearing Office (Ferrara), Respondent. Legion Insurance Company2 (Insurer) petitions for review of an adjudication of the Bureau of Workers' Compensation, Fee Review Hearing Office (Hearing Office), holding that it must reimburse Vincent L. Ferrara, M. D. , for vertebral axial decompression (VAX-D) treatments rendered to claimant Tammy Hudson. On February 10, 2009, Dr. Ferrara submitted an invoice to Insurer in the amount of $7,374. 50 for these treatments. Dr. Ferrara appealed to the Bureau, and on June 18, 2009, the Bureau found in favor of Insurer. Legion Insurance Company (In Liquidation) is insolvent, and its liabilities have been assumed by the Pennsylvania Security Fund.
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