CompFox AI Summary
This expedited hearing addressed employee Thomas Kelly's claim for medical benefits for emergency air transport and attorney fees against employer Catmur Development Co. and its insurer, Builders Mutual Insurance Co. Mr. Kelly suffered a severe workplace injury, severing his left thumb, which necessitated an air ambulance transfer for attempted replantation surgery. Catmur denied payment for the air transport based on a utilization review, despite the Bureau's Medical Director overturning this denial. The Court, asserting its authority to independently review medical necessity, found Mr. Kelly was likely to prevail. Consequently, the Court ordered Catmur to cover the $52,900 air ambulance bill and granted a 20% attorney's fee lien on this payment.
Kelly, Thomas v. Catmur Development Co. is a workers' compensation case decided in Tennessee Court of Workers' Compensation Claims. This case addresses legal issues related to compensation claims, benefits, and court rulings.
It is commonly referenced in legal research involving workers' compensation laws in Tennessee Court of Workers' Compensation Claims.
Full Decision Text1 Pages
This expedited hearing addressed employee Thomas Kelly's claim for medical benefits for emergency air transport and attorney fees against employer Catmur Development Co. and its insurer, Builders Mutual Insurance Co. Mr. Kelly suffered a severe workplace injury, severing his left thumb, which necessitated an air ambulance transfer for attempted replantation surgery. Catmur denied payment for the air transport based on a utilization review, despite the Bureau's Medical Director overturning this denial. The Court, asserting its authority to independently review medical necessity, found Mr. Kelly was likely to prevail. Consequently, the Court ordered Catmur to cover the $52,900 air ambulance bill and granted a 20% attorney's fee lien on this payment.
Read the full decision
Join + legal professionals. Create a free account to access the complete text of this decision and search our entire database.