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(영문) 부산지방법원 2019.02.13 2018구단566

요양일부불승인처분취소

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1. On May 22, 2017, the Defendant’s disposition of non-approval of part of the medical care rendered to the Plaintiff on May 22, 2017, prone kne in half-monthly.

Reasons

1. Details of the disposition;

A. On March 6, 2017, around 16:30, at the construction site of the Busan Gangseo-gu C Bank located in Gangseo-gu Busan, the Plaintiff was involved in an accident where the left scare scare scare scare scare scare scare scare scare scare scare scare scare scare scare scare scarfss

B. 1) The Plaintiff asserted that: (a) the instant accident caused the Defendant’s first medical care benefit application on the following grounds: (b) the Defendant suffered from the instant accident: (a) the right kne-to-fe-fe-fe-fe-fe-fe-fe-fe-fe-fe-fe-fe-fe-fe-fe-fe-fe-fe-fe-fe-fe-fe-fe-fe-fe-fe-fe-fe-fe-fe-fe

(2) On May 22, 2017, the Defendant: (a) granted the Plaintiff the approval of medical care benefits for the injury or disease; (b) on the ground that the injury or disease was discharged from each of the above and (c) there was no proximate causal relation with the Plaintiff’s work; and (c) issued a non-approval disposition on the ground that the injury or disease was not verified (the non-approval part of the above disposition was the instant disposition).

[Ground of recognition] Facts without dispute, Eul evidence Nos. 1 and 6, the purport of the whole pleadings

2. Whether the disposition is lawful;

A. The plaintiff's assertion that the D Hospital's doctor, the principal doctor of the plaintiff's claim, and the doctor affiliated with the E Hospital located in Seoul, were involved in the accident of this case. The defendant's failure to approve the initial medical care benefits for each of the above injury and disease is unlawful as it is based on the determination of erroneous facts.

B. 1) First of all, there is no evidence to acknowledge that the injury and disease among each of the injury and disease in this case was laid down in the health room and the second part of the plaintiff's left part of the injury and disease in this case (the appraiser commissioned to conduct the examination of the record of medical examination is not deemed to be an aggregate).

(2) The Plaintiff’s assertion on this part is without merit. 2) Each of the instant injury and disease.