Bodziony v. Blue Cross & Blue Shield of Kansas City

ALOK AHUJA, Judge.

Joseph Bodziony suffered a work-related shoulder injury which eventually required surgery. His health insurer, Blue Cross and Blue Shield of Kansas City, initially paid his medical bills. Bodziony later filed a workers’ compensation claim. He was denied recovery of his surgical costs because he had not given his employer advance notice and an opportunity to select his medical providers.

Upon learning that Bodziony’s injury was work-related, Blue Cross revoked its payment of his medical bills, based on a policy exclusion for injuries “covered or required to be covered by a…