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1. The defendant's appeal is dismissed.
2. The costs of appeal shall be borne by the Defendant.
Purport of claim and appeal
1..
Reasons
1. Basic facts
A. The Plaintiff is an insurance company that runs various insurance business, such as non-life insurance, and the Defendant is a person who operates the hospital in the name of “C Hospital” in Seocho-gu Seoul Metropolitan Government D (hereinafter “instant hospital”).
B. The Plaintiff entered into an insurance contract for guaranteeing the actual medical expenses (hereinafter “each of the instant insurance contracts”) with the insured as indicated in the separate sheet No. 1 list (hereinafter “the insured”).
C. The insured at the instant hospital received high pressure oxygen treatment from the Defendant, and paid the Defendant the medical expenses indicated in the column for the payment of the cost of high pressure oxygen treatment in attached Table 2. The Plaintiff paid the insured insurance money indicated in the column for the payment of the above list of insurance money according to each insurance contract of this case.
Detailed matters concerning the criteria and methods for applying medical care benefits (Notice of the Ministry of Health and Welfare No. 2009-135) shall be as follows:
50. (Calculation Method of the Number of High-Pressure oxide Treatments 586) When a high-tension oxygen treatment is implemented in installments after the same day and after the same day, the prescribed points of the relevant items for high voltage oxide treatment shall be calculated only once when the total time of actual treatment is added, and the calculation method of the number by each adaptation shall be as follows:
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(a) The prescribed points in the relevant item shall be calculated in the case of treatment of a high-tension oxygen at the rate of carbon poisoning, oxygen pressure disease, gas fluorosis, suspected fluorial germs, and fluorial poisoning;
B. In the case of high-tension oxygen treatment after a video, burner Cropic disease, food, or skin surgery, after a spopic surgery, or after the spopic ropic ropic ropic ropic ropic ropic ropic ropic ropical ropic ropic ropic ropic ropic ropic ropic ropic ropic ropic ropic ropic ropic ropic ropic ropic ropic ropic ropic ropic r