요양급여불승인처분취소
1. The plaintiff's claim is dismissed.
2. The costs of lawsuit shall be borne by the Plaintiff.
1. On June 8, 2015, the Plaintiff filed an application for medical care benefits for the instant injury and disease with the Defendant on July 15, 2015, asserting that the Plaintiff was diagnosed as a “surbing expenses” at the Busan University Hospital (hereinafter “instant injury and disease”) due to symptoms showing that he/she was in the process of making a frying in the block No. 18:00 on the same day, and that he/she was diagnosed as a staff member of the Song Forestry Industry.
On November 9, 2015, the Defendant rendered a disposition to not approve the Plaintiff’s application for medical care benefits (hereinafter “instant disposition”) on the ground that there is no proximate causal relation between the instant shopping branch and the Plaintiff’s business.
[Grounds for recognition] The entry of Gap evidence Nos. 1, 2, and 3 and the purport of the whole pleadings
2. Whether the disposition is lawful;
A. The Plaintiff’s assertion was caused by the lack of oxygens, exposure to various harmful factors, such as carbon dioxide gases, etc. in the course of melting work in a closed block No. 110 on June 8, 2015, and thus, there is a proximate causal relation between the Plaintiff’s work and the upper branch of the instant case, and the Defendant’s disposition was unlawful.
B. Fact-finding 1) The Plaintiff’s contents of the Plaintiff’s duties were 6 days of service per 1 week as an agent, and mainly engaged in the work of melting the steel plate and steel plate, etc. 2) The Plaintiff, such as the Plaintiff’s health condition, etc., was judged as having been in need of normal B, urine for secondary examination of urine diseases, counseling on suspicion of liver diseases, and follow-up inspection at the health examination conducted on June 15, 2015 as B, as a man, by measuring 159 g/dl, 199mg/dl, etc.
3) Medical opinions A) The diagnosis name of the instant injury by Plaintiff Jinchi (Linininina of Busan National University Hospital) is the right-specific chronological pathy (Belgium). The temporary site for the cause of the occurrence is the virus infection, Malithy due to Hemovascular disease, Malisis due to urine, chronism, and chronological infection.