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(영문) 서울행정법원 2020.12.22 2020구단66308
요양급여(추가상병)불승인처분취소
Text

The plaintiff's claim is dismissed.

Litigation costs shall be borne by the plaintiff.

Reasons

1. Details of the disposition;

A. On October 15, 2019, the Plaintiff was on duty as a street green belt-based employee in Seoul Special Metropolitan City, Nowon-gu Office, and on October 15, 2019, there was an accident in which the Plaintiff’s car, starting from the right side of the Plaintiff’s vehicle, was loaded on the front line of the vehicle, and the Plaintiff’s car was loaded on the right side of the vehicle, thereby shocking the Plaintiff’s car (hereinafter “instant accident”).

B. The Plaintiff received medical care from the Defendant on November 18, 2019 (the period of medical care from October 15, 2019 to January 20, 2020) after receiving medical care approval from the Defendant (the period of medical care was from October 15, 2019 to November 20, 202). The Plaintiff received from the Defendant the injury of “the instant approved injury” due to the instant accident, i.e., the complete m., the area near the upper part of the full part of the full part of the upper part of the upper part of the upper part, the complete maring part of the upper part of the upper part of the upper part of the upper part, the strong maring part of the upper part of the upper part of the upper part, the rupture of the raw part of the upper part of the upper part of the body, and was hospitalized from the date of November 25, 2019 to the date of November 26, 2019).

C. On February 18, 2020, the Plaintiff applied for the approval of additional diseases to the Defendant on the ground that “the additional diseases in this case are known as dangerous factors, and the Plaintiff did not have any relation to the corresponding branch of the approval” (hereinafter “instant disposition”). However, on May 15, 2020, on the ground that “the additional diseases in this case are known as dangerous factors, and the additional diseases in this case have no relation to the corresponding branch of the approval” (hereinafter “instant disposition”).

[Reasons for Recognition] Facts without dispute, Gap evidence 1, 2, 3, Gap evidence 6-1, 2, and the purport of the whole pleadings

2. Whether the disposition is lawful;

A. The Plaintiff’s assertion not only caused an external shock that occurred at the time of the instant accident, but also caused an external shock that occurred due to the blood transfusion of the scambling team, which is one of the causes of the instant additional injury, and the blood scambling and scambling of the scambling team due to direct blood damage, and the heart around 2018.

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