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(영문) 서울중앙지방법원 2015.08.12 2014가단5106444
용역비
Text

1. Defendant Samsung Fire Marine Insurance Co., Ltd.: (a) KRW 35,682,160, and its amount from May 14, 2014 to May 2015.

Reasons

1. Basic facts

A. The Plaintiff, while operating the Sungsung Hospital of the Korea Forestry University, the Han Forestry University Gangnam-gu Hospital, the Han Forestry University Hospital, and the Han River University Han River University Dental Hospital (hereinafter “Plaintiff Hospital”), requested the victims of traffic accidents caused by vehicles that entered into a comprehensive automobile insurance contract with an insurance company, to conduct a CT and MRI test (hereinafter “MI test”), notified the Defendants, etc., and verified the intent to guarantee the payment, and received insurance money equivalent to the cost of the filming test from the insurance company, etc. in accordance with the standards for calculating medical fees set forth in the Guarantee of Automobile Accident Compensation Act.

Accordingly, motor vehicle insurance medical fees are subject to the health insurance benefit act and relative value point notified by the Minister of Health and Welfare under Article 2 (1) of the National Health Insurance Act and Article 24 of the Enforcement Decree of the same Act.

B. ① On April 6, 2011, the Minister of Health, Welfare and Family Affairs publicly announced the revision of the list of health insurance benefit costs and benefit benefit costs, which contain the contents of reducing 15% of the relative point value of CT by 201-43, 30% of the relative point value of MRI, and 16% of the relative point value of PE.

(2) The Plaintiff was admitted to the instant case and received only insurance money corresponding to the video photographing expenses reduced from May 1, 201 to October 21, 201, according to the Si’s approval, from the Defendants.

③ On October 21, 2011, the Seoul Administrative Court case No. 2011Guhap13125 (Seoul High Court case 201Nu40655) rendered a judgment ordering the cancellation of the instant reduction notice and became final and conclusive.

[Ground of recognition] Unsatisfy, entry of Gap evidence 1 to 3, purport of whole pleadings

2. Determination

A. Defendant Samsung Fire Marine Insurance Co., Ltd. (hereinafter the Defendants’ labeling)

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