This and That Services Co. Inc. v. Nieves
Annotate this CaseThe statute at issue in this appeal, 19 Del. C. § 2322F, provided a mechanism for employers and their workers’ compensation carriers to challenge proposed or provided health care services relating to compensable work injuries. An employer sought review of a superior court opinion reversing a decision by the Industrial Accident Board (the “IAB” or “Board”) regarding the reasonableness of a prescribed course of treatment. The IAB initially dismissed this case as moot, but the superior court reversed and remanded that decision in 2019. On remand, the IAB held that the claimant-employee’s ongoing narcotics treatment after June 2017 was unreasonable, unnecessary, and therefore not compensable under the Workers’ Compensation Act. The superior court then reversed the IAB again, holding there was no justiciable issue before the Board because the claimant employee had not submitted any medical claims to his employer for ongoing treatment. The employer argued the superior court erred as a matter of law in concluding that the IAB could not consider the compensability of an employee’s ongoing narcotics treatment until the employee submitted invoices for payment to the employer and the employer disputed those invoices in the statutory review process. Because the superior court incorrectly interpreted 19 Del. C. § 2322F with respect to the justiciability of the employer’s petition, the Delaware Supreme Court reversed the superior court’s decision, vacated the attorneys’ fees award, and reinstated the IAB’s determination.
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