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HALL v. UTC/PRATT WHITNEY CIGNA PRO. CAS

Workers' Compensation Commission
Dec 22, 1995
2146 CRB 8 (Conn. Work Comp. 1995)

Opinion

CASE NO. 2146 CRB-8-94-9

DECEMBER 22, 1995

The claimant was represented by Krevolin Feinstein, who did not appear at oral argument.

The medical care provider appeared on his own behalf

The respondents were represented by Lucas Strunk, Esq., Pomeranz, Drayton Stabnick.

This Petition for Review from the September 12, 1994 Determination of the Ad Hoc Dispute Resolution Panel was heard May 19, 1995 before a Compensation Review Board panel consisting of the Commission Chairman Jesse M. Frankl and Commissioners Roberta Smith Tracy and Amado J. Vargas.


OPINION


The medical care provider, Neil Kaufman, D.C., has filed a petition for review from the September 12, 1994 decision of the Ad Hoc, Dispute Resolution Panel. In that decision, the panel determined that "with regard to the disputed bill in this case, reasonable and customary treatment is seven visits at $60 dollars per visit, plus $80 dollars for a lumbo-sacral support brace, totaling $500 dollars." In support of his appeal, Kaufman argues that all sixteen of his medical visits with the claimant constituted reasonable and customary treatment.

We will first address the respondents' motion to dismiss. The respondents contend that the appeal should be dismissed due to Kaufman's failure to file a motion to correct or a legal brief. We disagree. As there was no transcript of the proceedings before the Ad Hoc Dispute Resolution Panel, and as the decision did not set forth findings of fact, the claimant was arguably unable to file a motion to correct. See § 31-301-4. Moreover, we consider the claimant's letter dated April 12, 1995 to constitute his legal brief. Accordingly, the respondents' motion to dismiss for failure to prosecute is denied.

This board has held that we will not decide a matter where "through inadvertence, or otherwise, the facts have not been sufficiently found to render a just judgment." Charette v. Jensen Mobile Home, 10 Conn. Workers' Comp. Rev. Op. 1, 936 CRD-6-89-11 (March 19, 1991) (citation omitted). In the instant case, the panel's decision does not contain any findings of fact, nor does it state a reason for the conclusion that only seven of the sixteen office visits are reasonable and customary. Accordingly, we are unable to properly review the panel's decision. SeeCharette, supra. Therefore, we are remanding this case in order for a de novo formal hearing to be held by a new panel pursuant to § 31-280-3.

Commissioners Roberta Smith Tracy and Amado J. Vargas concur.


Summaries of

HALL v. UTC/PRATT WHITNEY CIGNA PRO. CAS

Workers' Compensation Commission
Dec 22, 1995
2146 CRB 8 (Conn. Work Comp. 1995)
Case details for

HALL v. UTC/PRATT WHITNEY CIGNA PRO. CAS

Case Details

Full title:WILLIE HALL, CLAIMANT-APPELLEE AND NEIL KAUFMAN, D.C., MEDICAL CARE…

Court:Workers' Compensation Commission

Date published: Dec 22, 1995

Citations

2146 CRB 8 (Conn. Work Comp. 1995)

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