요양급여 일부불승인 처분 취소
1. The Defendant’s disposition of non-approval of part of medical care benefits rendered to the Plaintiff on October 21, 2013 is revoked.
2. The costs of lawsuit shall be.
Basic facts are: (a) on February 22, 2012, 2011, the Plaintiff was suffering from an accident during the construction site for the repair of facilities for persons with disabilities in Bupyeong-gu, Incheon on December 2, 201; (b) on February 22, 2012, at C Hospital located in Seo-gu, Incheon on the left-hand knee kne kne skne kne, the Plaintiff received an accident (hereinafter “previous accident”).
On November 23, 2012, while the Plaintiff was dispatched to the commander of the construction site in Jeju-do D D D D Corporation’s construction site and was on duty from around November 23, 2012, the Plaintiff, around 10:00 on January 17, 2013, was under work on the 102 East 4th floor of the above construction site, and, on the other hand, was under vain, vad.
(hereinafter “instant accident”). On February 4, 2013, the Plaintiff was diagnosed as “in the instant accident, satisfying, satisfying, satisfying, satisfying, satisfying, satisfying, satisfying, satisfying on the right satisfy in the right sats.”
On October 15, 2013, the Plaintiff filed an application for medical care benefits with the Defendant (hereinafter “instant application”), and the Defendant had been operated on the same part before the disaster occurred on October 21, 2013, and the Defendant advisory doctor’s “The Defendant’s shotle and pelle loss on the right side is confirmed through self-official image, but it is not clear that the left shotle is natural progress after the previous operation, and it is reasonable to regard it as natural progress.” As a result of consultation, it is difficult to recognize the causal relationship with the instant accident, on the ground that it is difficult to recognize the causal relationship with the instant accident, the left shotle in the upper right side of the applicant’s disease is approved, and the Defendant decided not to approve the right side shotle and the right side shotle in the right side of the applicant’s disease, and the Defendant decided not to approve the left shotle.
(hereinafter “instant disposition”). The Plaintiff filed a petition for review against the instant disposition, but was dismissed on February 25, 2014, and was subsequently dismissed on July 16, 2014.
[Reasons for Recognition] Unsatisfy, Gap evidence 1, Gap evidence 2, Eul evidence 1-3.