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#AuthorizationofMedicalCare

Kelley Browning v. Luxottica Retail Corp. d/b/a Sunglass Hut and SRS, Liberty Mutual Insurance

In Kelley Browning v. Luxottica Retail Corp. d/b/a Sunglass Hut and SRS, Liberty Mutual Insurance the Claimant requested a rheumatologist for evaluation and treatment. The E/C agreed in writing twice to provide evaluation and treatment of casually related conditions however, failed to timely authorize. Claimant sought an order approving the stipulation. The JCC found the …

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Peter Jarry v. Calhoun Correctional Institute and Division of Risk Management

Peter Jarry v. Calhoun Correctional Institute and Division of Risk Management the Claimant injured his shoulder, neck and back while within the course and scope of employment. The E/C authorized shoulder care and claimant underwent surgery. The Claimant filed a petition for cervical and lumbar spine evaluation with an orthopedic surgeon and the E/C denied …

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Maria Ayala v. Skampa Painting & Renovating Inc and CCMSI

In Maria Ayala v. Skampa Painting & Renovating Inc and CCMSI the Claimant is seeking an orthodontic night guard designed to produce her with some relief of jaw pain cause by her compensable injury. The E/C authorized an orthodontist and a night guard but didn’t actually provide the night guard because there was an issue …

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William Howard v. J.E. Nelson Construction and Summit

In William Howard v. J.E. Nelson Construction and Summit the issue is whether E/C provided authorized medical treatment to the claimant. The E/C argues that the Carrier has timely provided any and all medical treatment medically necessary and causally related as required under Chapter 440. The claimant argued that while the provider was authorized, the …

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Ismael Tiburcio v. Hillsborough County Sheriff’s Office and Commercial Risk Management, Inc.

Ismael Tiburcio v. Hillsborough County Sheriff’s Office and Commercial Risk Management, Inc. the primary issue is compensability of claimant’s heart disease. Claimant argues that his heart disease is compensable under the presumption contained in section 112.12(1)(a), Florida Statutes. The JCC found that claimant meets all required elements of the presumption. E/C argued that the E/C …

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Mary Kathleen Lynn v. American Airlines Group and Sedgwick CMS

In Mary Kathleen Lynn v. American Airlines Group and Sedgwick CMS Claimant petitioned for authorization of an orthopedic surgeon as an alternate physician. Claimant contends the carrier unreasonably delayed the provision of an alternate physician and therefore has the right to select the orthopedic surgeon. E/C argues that they timely offered a one-time change of …

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Wilmer Hernandez Perez v. Seacrest Services, Inc. and Travelers Insurance

In Wilmer Hernandez Perez v. Seacrest Services, Inc. and Travelers Insurance the Claimant injured his hand and shoulder. The Claimant petitioned for a one time change of doctor to Dr. Richard Weiner. The E/C argued that the petition for benefits filed was non-specified as to the body parts or physician for which the change was …

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Marquis Collins v. L & M Endeavors LLC and Amerisure Insurance

In Marquis Collins v. L&M Endeavors LLC and Amerisure Insurance the Claimant was injured while working as a solar panel installer. Claimant gave two different descriptions of his accident but with both descriptions alleges injury to his right hip. E/C argues that they accepted Claimant’s right hip injury as compensable and authorized medical care with …

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Roger Williams v. Brevard County Fire Rescue and Preferred Government Claims Solutions

In Roger Williams v. Brevard County Fire Rescue and Preferred Government Claims Solutions the Claimant worked as a certified firefighter who responded to numerous traumatic calls involving death or serious bodily injury throughout his career. There are two events particularly relevant to this PTSD claim. The first was when Claimant responded to a truck fire …

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