A Bureau of Workers’ Compensation fee review hearing officer should not have ordered Zurich American Insurance Co. to pay a more than $1 million hospital bill because the insurer was contending that the injured worker had committed fraud, the Commonwealth Court has ruled.
A unanimous three-judge panel of the Commonwealth Court in Zurich American Insurance v. Bureau of Workers’ Compensation Fee Review Hearing Office reversed a fee hearing officer’s decision ordering the insurer to pay $1.1 million for trauma care while a dispute was ongoing over whether the injured man had been acting in the course of his employment.
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