EDWIN KALMUS & COMPANY AND CHUBB GROUP OF INSURANCE COMPANIES, APPELLANTS,
v.
WILLIAM BERKARICH & DIVISION OF WORKERS' COMPENSATION, APPELLEES

Fla. 1st DCA | 1982-10-12
No. AJ-54
McCORD, BOOTH and WENTWORTH, JJ., concur.
421 So. 2d 584 Florida District Court of Appeal, First District (1982) Negative Treatment
Cited by 2 cases

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Holding

The court affirmed the deputy's order to pay medical bills, finding the employer/carrier failed to show an abuse of discretion.


Facts & Procedural History

The employer/carrier appealed an order to pay medical bills, arguing lack of authorization and failure to submit medical reports. The deputy found the…

The full statement of facts, procedural history, and disposition for this case are member content.

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Opinion of the Court
PER CURIAM.

PER CURIAM.

Employer/carrier appeals an order to pay certain medical bills, urging (1) lack of authorization and (2) failure to submit medical reports. The first contention is essentially factual in nature, and we do not disturb the deputy’s determination that record evidence substantiated a need for medical care “beyond that offered” by authorized physicians, who had released claimant for work and advised that nothing more could be done at the time. Continued authorization of those physicians therefore did not permit carrier’s rejection of claimant’s request, and the award for costs of additional services obtained by claimant is affirmed.

Appellant’s burden, in urging reversal on the second point, is to show abuse of discretion by the deputy in ordering payment absent proper medical reports. Torres v. Eden Roc Hotel, 238 So. 2d 639 (Fla.1970); Ranch House, Inc. v. Jackson, IRC Order No. 2-3824 (May 25, 1979). Although the order refers only to carrier’s refusal of authorization, the record adequately amplifies the basis for excusing reports. We affirm because “unless it can be said that the deputy’s holding was erroneous, and not merely the reasons which he gave therefor, his order should not be reversed.” Escarra v. Winn Dixie Stores, Inc., 131 So. 2d 483 (Fla.1961).

Appellant’s contention here is that lack of prejudice to carrier is irrelevant to existence of cause for excusal initially. We conclude to the contrary, and find that appellant fails to show abuse of discretion in the order for payment in this case. The deputy could reasonably believe that the reports would have served no useful purpose, based on record facts including the physician’s testimony that he called to report claimant’s visit and request authorization for treatment, and was told “We don’t want to talk to you and we don’t want to hear what you have to say ....”

AFFIRMED.

McCORD, BOOTH and WENTWORTH, JJ., concur.


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Citator

Cited By

  • Carter v. Am. Finnish Nursing Home & Se. Fire Ins. Co., 450 So. 2d 1262 (Fla. 1st DCA 1984)
    …timely file their reports. Accord [*1264] ingly, we find and hold that the deputy did not abuse his discretion in denying payment by the employer/carrier of Dr. Levitt’s and Doctors Hospital’s medical bills. See Edwin Kalmus & Company v. Berkarich, 421 So. 2d 584 (Fla. 1st DCA 1982) (as to the standard of appellate review). The deputy’s order is AFFIRMED. MILLS and WIGGINTON, JJ., concur.…

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