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ITT Hartford Insurance Group v. Nicholls

Oregon Court of Appeals
Mar 2, 1994
871 P.2d 125 (Or. Ct. App. 1994)

Opinion

WCB 91-01349; CA A77429

Argued and submitted August 18, 1993.

Reversed and remanded for reconsideration March 2, 1994.

Judicial Review from Workers' Compensation Board.

Stephen R. Frank argued the cause for petitioners. With him on the brief were Alison K. Greene and Tooze Shenker Duden Creamer Frank Hutchison.

Michael Dehner argued the cause for respondent. On the brief were Daniel J. DeNorch and Schneider, DeNorch Galaviz-Stoller.

Before Warren, Presiding Judge, and Edmonds and Landau, Judges.


PER CURIAM

Reversed and remanded for reconsideration.


Employer seeks review of an order of the Workers' Compensation Board holding that the Board did not have jurisdiction to determine whether chiropractic care that claimant had received was approved by claimant's attending physician and whether the treatment was palliative or curative.

Employer's initial denial was based on ORS 656.245(3)(b)(A), which requires that, when certain services are provided by other than an attending physician, there must be written authorization by the claimant's attending physician. Employer asserted that the physician who authorized claimant's treatments was not claimant's attending physician. Employer then supplemented its denial, asserting that the chiropractic care was palliative and therefore not compensable under ORS 656.245(1)(b).

We recently held that a dispute over whether medical treatment that has already been received is palliative or curative is a matter covered by ORS 656.327(1), which, under Meyers v. Darigold, Inc., 123 Or. App. 217, 861 P.2d 352 (1993), the Board may resolve as long as no party has sought review by the director of the Department of Insurance and Finance. Theodore v. Safeway Stores, Inc., 125 Or. App. 172, 865 P.2d 404 (1993). We conclude that a dispute over whether the treatment that has already been provided was approved by the claimant's attending physician is similarly within the purview of ORS 656.327(1). Because no party has sought review by the director, the Board has jurisdiction to resolve both disputes. We remand for the Board to exercise its jurisdiction.

Reversed and remanded for reconsideration.


Summaries of

ITT Hartford Insurance Group v. Nicholls

Oregon Court of Appeals
Mar 2, 1994
871 P.2d 125 (Or. Ct. App. 1994)
Case details for

ITT Hartford Insurance Group v. Nicholls

Case Details

Full title:In the Matter of the Compensation of James W. Nicholls, Claimant. ITT…

Court:Oregon Court of Appeals

Date published: Mar 2, 1994

Citations

871 P.2d 125 (Or. Ct. App. 1994)
871 P.2d 125