요양급여불승인처분 취소
1. The plaintiff's claim is dismissed.
2. The costs of lawsuit shall be borne by the Plaintiff.
1. Details of the disposition;
A. On November 1, 2017, the Plaintiff entered a company C (hereinafter “instant place of business”) located in Gangdong-gu Seoul Metropolitan Government, and was employed as a taxi engineer belonging to the instant place of business on December 31, 2018 while serving as the taxi engineer at the instant place of business, and was faced with the right shoulder and chests on the floor while getting out of the upper upper floor of the instant place of business and getting off the upper part of the instant place of business (hereinafter “instant accident”).
B. After that, the Plaintiff was diagnosed with each injury or disease in the field of the “surgical surgical surgical surgical surgical surgical surgical surgical surgical surgical surgical surgical, and surgical surgical surgical surgical surgical sar
C. However, on February 27, 2019, the Defendant approved the Plaintiff’s application for medical care benefits with respect to each of the above injury or disease by recognizing the outbreak of the instant accident and the causal link between the instant accident, and rendered a decision not to approve the Plaintiff’s application for medical care benefits with respect to the instant injury or disease (hereinafter “instant injury or disease”) based on the Defendant’s medical opinion, etc., stating that “It is deemed that it would be an existing disease not related to the instant accident, considering that it shows the regional change of the surrounding land in the MRI,” and that “it is determined that the Plaintiff’s application for medical care benefits with respect to the instant injury or disease would not be approved (hereinafter “instant disposition”).
[Ground of recognition] Unsatisfy, Gap evidence Nos. 1, 2, and 5, the purport of the whole pleadings
2. Whether the instant disposition is lawful
A. The main point of the Plaintiff’s assertion was that the instant accident resulted in considerable shock on the right shoulder part of the Plaintiff, and even if so, the instant accident occurred on the right shoulder of the Plaintiff.