Legion Insurance v. Bureau of Workers' Compensation Fee Review Hearing Office

OPINION BY

Judge LEAVITT.

Legion Insurance Company (In Liquidation) 2 (Insurer) petitions for review of an adjudication of the Bureau of Workers’ Compensation, Fee Review Hearing Office (Hearing Office), holding that it must reimburse Vincent L. Ferrara, M.D., for vertebral axial decompression (VAX-D) treatments rendered to claimant Tammy Hudson. The sole issue is whether an insurer can deny a provider payment because the provider’s invoice used a temporary, non-Medicare code, not found in the approved Pennsylvania Workers’ Compensation Fee Schedule (Fee Schedule). Concluding that an invoice…