4-351-350 (1998). WILLIAM YECK.
Case Date | December 02, 1998 |
Court | Colorado |
Colorado Workers Compensation
1998.
4-351-350 (1998).
WILLIAM YECK
INDUSTRIAL CLAIM APPEALS OFFICEIN THE MATTER OF THE CLAIM OF WILLIAM
YECK, Claimant, v. NATIONAL BAROMEDICAL SERVICES, Employer, and COLORADO
COMPENSATION INSURANCE AUTHORITY, Insurer, Respondents.W. C. No. 4-351-350FINAL ORDER The claimant seeks review of an order of Administrative Law Judge
Gandy (ALJ) dated April 21, 1998. The claimant contends the ALJ erred insofar
as he determined that Dr. Cobb and the providers to whom he referred the
claimant are not authorized treating physicians. We affirm.
The claimant filed a workers' compensation claim alleging a back
injury. The respondents filed a Notice of Contest which denied liability for
the injury.
The ALJ's pertinent findings of fact may be summarized as
follows. The claimant suffered a compensable back injury on December 23, 1996.
The employer referred the claimant to the emergency room of the Poudre Valley
Hospital for treatment. The claimant obtained follow-up treatment from the
Occupational Health Services (OHS) component of the Poudre Valley Hospital, and
OHS is an authorized provider. OHS placed the claimant at maximum medical
improvement (MMI) in January 1997. The claimant subsequently continued to
experience pain and symptoms from the industrial injury. However, instead of
returning to OHS for further treatment, the claimant discussed his injury with
Dr. Cobb who referred him to Dr. Coester for treatment. On December 29, 1997,
Dr. Coester performed surgery.
The ALJ further found that neither the respondents nor OHS
referred the claimant to Dr. Cobb or Dr. Coester. Therefore, the ALJ determined
that Dr. Cobb and the providers to whom he referred the claimant are not
authorized treating physicians. In addition the ALJ determined that there was
no refusal to treat by OHS. Consequently, the ALJ denied the claimant's request
for a change of physician and concluded that the respondents are not liable for
Dr. Coester's treatment.
On review, the claimant recognizes that § 8-43-404(5),
C.R.S. 1998, affords the respondents a statutory right, in the first instance,
to select a physician to treat the industrial injury, and that the right of
first selection does not pass to the claimant unless the respondents fail to
provide a physician willing to treat the injury. Section 8-43-404(5) also
provides that the...
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