FILED Jul 12, 2024 02:08 PM(CT) TENNESSEE COURT OF WORKERS' COMPENSATION CLAIMS
TENNESSEE BUREAU OF WORKERS’ COMPENSATION IN THE COURT OF WORKERS’ COMPENSATION CLAIMS AT NASHVILLE
DEVIN BARR, ) Docket No. 2020-06-1153 Employee, ) v. ) AUTO ART OF NASHVILLE, ) State File No. 42601-2017 Employer, ) And, ) EMPLOYERS PREFERRED ) Judge Joshua D. Baker INSURANCE COMPANY, ) Carrier. )
COMPENSATION ORDER
The Court held a compensation hearing on July 9, 2024, on the post-settlement medical dispute in this case. Mr. Barr seeks coverage for chiropractic treatment, psychiatric treatment, and reimbursement for prescription medication. He additionally seeks medical treatment.
As background, on June 6, 2017, Mr. Barr was working for Auto Art of Nashville when hot slag from welding got into his safety glasses, causing him to fall backward, injuring his neck, lower back, and right knee. The parties settled the claim and agreed that Auto Art of Nashville would provide lifetime open medical benefits under Tennessee Code Annotated section 50-6-204. The Court approved the settlement.
Mr. Barr filed a petition requesting benefits under the medical benefits provision. The parties have resolved all disputed issues at this time and have agreed upon the following:
◼ Auto Art of Nashville will pay directly to Mr. Barr $1,514.70 for out-of-pocket expenses paid to Cerebral for medication and care management. ◼ Auto Art of Nashville will pay directly to Mr. Barr a $982.99 reimbursement for prescription medication.
1 ◼ Auto Art of Nashville shall satisfy the $17,130.00 in bills Mr. Barr owes to Lexington Pain and Wellness Center for past treatment. ◼ Dr. Aaron Compton will continue to provide pain management treatment to Mr. Barr, and Auto Art of Nashville will begin paying for authorized psychiatric treatment with Cerebral. ◼ The payments to be made directly to Mr. Barr shall occur within 21 days.
IT IS, THEREFORE, ORDERED as follows:
1. Auto Art of Nashville shall pay directly to Mr. Barr $1,540.70 and $982.99 for past medical expenses as outlined above.
2. Auto Art of Nashville shall satisfy Mr. Barr’s $17,130.00 in bills owed to Lexington Wellness Center.
3. All payments shall be made within 21 days of this order.
4. Auto Art of Nashville shall continue to furnish reasonable, necessary, and work- related treatment under the open medical benefits provision as previously ordered, including treatment with Dr. Compton and Cerebral.
5. The Court taxes $150.00 costs against Auto Art of Nashville, to be paid within five business days.
ENTERED July 12, 2024.
_______________________________ Judge Joshua D. Baker Court of Workers’ Compensation Claims
2 APPENDIX
Exhibits:
1. Itemized list of prescription records. 2. Invoices from Cerebral. 3. Account statement from Lexington Pain and Wellness Center.
3 CERTIFICATE OF SERVICE
I certify that a copy of this Order was sent as indicated on July 12, 2024.
Name Cert. Via Via Service Sent To: Mail Fax Email Devin Barr, X Devinbarr889@gmail.com Employee Richard Clark, X RClark@eraclides.com Employer’s Attorney jenniferdavis@eraclides.com
_____________________________________ Penny Shrum, Court Clerk Court of Workers’ Compensation Claims WC.CourtClerk@tn.gov
4 Right to Appeal: If you disagree with the Court’s Order, you may appeal to the Workers’ Compensation Appeals Board. To do so, you must: 1. Complete the enclosed form entitled “Notice of Appeal” and file it with the Clerk of the Court of Workers’ Compensation Claims before the expiration of the deadline. If the order being appealed is “expedited” (also called “interlocutory”), or if the order does not dispose of the case in its entirety, the notice of appeal must be filed within seven (7) business days of the date the order was filed. If the order being appealed is a “Compensation Order,” or if it resolves all issues in the case, the notice of appeal must be filed within thirty (30) calendar days of the date the Compensation Order was filed. When filing the Notice of Appeal, you must serve a copy on the opposing party (or attorney, if represented).
2. You must pay, via check, money order, or credit card, a $75.00 filing fee within ten calendar days after filing the Notice of Appeal. Payments can be made in-person at any Bureau office or by U.S. mail, hand-delivery, or other delivery service. In the alternative, you may file an Affidavit of Indigency (form available on the Bureau’s website or any Bureau office) seeking a waiver of the filing fee. You must file the fully-completed Affidavit of Indigency within ten calendar days of filing the Notice of Appeal. Failure to timely pay the filing fee or file the Affidavit of Indigency will result in dismissal of your appeal.
3. You are responsible for ensuring a complete record is presented on appeal. If no court reporter was present at the hearing, you may request from the Court Clerk the audio recording of the hearing for a $25.00 fee. If you choose to submit a transcript as part of your appeal, which the Appeals Board has emphasized is important for a meaningful review of the case, a licensed court reporter must prepare the transcript, and you must file it with the Court Clerk. The Court Clerk will prepare the record for submission to the Appeals Board, and you will receive notice once it has been submitted. For deadlines related to the filing of transcripts, statements of the evidence, and briefs on appeal, see the applicable rules on the Bureau’s website at https://www.tn.gov/wcappealsboard. (Click the “Read Rules” button.)
4. After the Workers’ Compensation Judge approves the record and the Court Clerk transmits it to the Appeals Board, a docketing notice will be sent to the parties. If neither party timely files an appeal with the Appeals Board, the Court Order becomes enforceable. See Tenn. Code Ann. § 50-6-239(d)(3) (expedited/interlocutory orders) and Tenn. Code Ann. § 50-6-239(c)(7) (compensation orders).
For self-represented litigants: Help from an Ombudsman is available at 800-332-2667. NOTICE OF APPEAL Tennessee Bureau of Workers’ Compensation www.tn.gov/workforce/injuries-at-work/ wc.courtclerk@tn.gov | 1-800-332-2667
Docket No.: ________________________
State File No.: ______________________
Date of Injury: _____________________
___________________________________________________________________________ Employee
v.
___________________________________________________________________________ Employer
Notice is given that ____________________________________________________________________ [List name(s) of all appealing party(ies). Use separate sheet if necessary.]
appeals the following order(s) of the Tennessee Court of Workers’ Compensation Claims to the Workers’ Compensation Appeals Board (check one or more applicable boxes and include the date file- stamped on the first page of the order(s) being appealed):
□ Expedited Hearing Order filed on _______________ □ Motion Order filed on ___________________ □ Compensation Order filed on__________________ □ Other Order filed on_____________________ issued by Judge _________________________________________________________________________.
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FILED Jul 12, 2024 02:08 PM(CT) TENNESSEE COURT OF WORKERS' COMPENSATION CLAIMS
TENNESSEE BUREAU OF WORKERS’ COMPENSATION IN THE COURT OF WORKERS’ COMPENSATION CLAIMS AT NASHVILLE
DEVIN BARR, ) Docket No. 2020-06-1153 Employee, ) v. ) AUTO ART OF NASHVILLE, ) State File No. 42601-2017 Employer, ) And, ) EMPLOYERS PREFERRED ) Judge Joshua D. Baker INSURANCE COMPANY, ) Carrier. )
COMPENSATION ORDER
The Court held a compensation hearing on July 9, 2024, on the post-settlement medical dispute in this case. Mr. Barr seeks coverage for chiropractic treatment, psychiatric treatment, and reimbursement for prescription medication. He additionally seeks medical treatment.
As background, on June 6, 2017, Mr. Barr was working for Auto Art of Nashville when hot slag from welding got into his safety glasses, causing him to fall backward, injuring his neck, lower back, and right knee. The parties settled the claim and agreed that Auto Art of Nashville would provide lifetime open medical benefits under Tennessee Code Annotated section 50-6-204. The Court approved the settlement.
Mr. Barr filed a petition requesting benefits under the medical benefits provision. The parties have resolved all disputed issues at this time and have agreed upon the following:
◼ Auto Art of Nashville will pay directly to Mr. Barr $1,514.70 for out-of-pocket expenses paid to Cerebral for medication and care management. ◼ Auto Art of Nashville will pay directly to Mr. Barr a $982.99 reimbursement for prescription medication.
1 ◼ Auto Art of Nashville shall satisfy the $17,130.00 in bills Mr. Barr owes to Lexington Pain and Wellness Center for past treatment. ◼ Dr. Aaron Compton will continue to provide pain management treatment to Mr. Barr, and Auto Art of Nashville will begin paying for authorized psychiatric treatment with Cerebral. ◼ The payments to be made directly to Mr. Barr shall occur within 21 days.
IT IS, THEREFORE, ORDERED as follows:
1. Auto Art of Nashville shall pay directly to Mr. Barr $1,540.70 and $982.99 for past medical expenses as outlined above.
2. Auto Art of Nashville shall satisfy Mr. Barr’s $17,130.00 in bills owed to Lexington Wellness Center.
3. All payments shall be made within 21 days of this order.
4. Auto Art of Nashville shall continue to furnish reasonable, necessary, and work- related treatment under the open medical benefits provision as previously ordered, including treatment with Dr. Compton and Cerebral.
5. The Court taxes $150.00 costs against Auto Art of Nashville, to be paid within five business days.
ENTERED July 12, 2024.
_______________________________ Judge Joshua D. Baker Court of Workers’ Compensation Claims
2 APPENDIX
Exhibits:
1. Itemized list of prescription records. 2. Invoices from Cerebral. 3. Account statement from Lexington Pain and Wellness Center.
3 CERTIFICATE OF SERVICE
I certify that a copy of this Order was sent as indicated on July 12, 2024.
Name Cert. Via Via Service Sent To: Mail Fax Email Devin Barr, X Devinbarr889@gmail.com Employee Richard Clark, X RClark@eraclides.com Employer’s Attorney jenniferdavis@eraclides.com
_____________________________________ Penny Shrum, Court Clerk Court of Workers’ Compensation Claims WC.CourtClerk@tn.gov
4 Right to Appeal: If you disagree with the Court’s Order, you may appeal to the Workers’ Compensation Appeals Board. To do so, you must: 1. Complete the enclosed form entitled “Notice of Appeal” and file it with the Clerk of the Court of Workers’ Compensation Claims before the expiration of the deadline. If the order being appealed is “expedited” (also called “interlocutory”), or if the order does not dispose of the case in its entirety, the notice of appeal must be filed within seven (7) business days of the date the order was filed. If the order being appealed is a “Compensation Order,” or if it resolves all issues in the case, the notice of appeal must be filed within thirty (30) calendar days of the date the Compensation Order was filed. When filing the Notice of Appeal, you must serve a copy on the opposing party (or attorney, if represented).
2. You must pay, via check, money order, or credit card, a $75.00 filing fee within ten calendar days after filing the Notice of Appeal. Payments can be made in-person at any Bureau office or by U.S. mail, hand-delivery, or other delivery service. In the alternative, you may file an Affidavit of Indigency (form available on the Bureau’s website or any Bureau office) seeking a waiver of the filing fee. You must file the fully-completed Affidavit of Indigency within ten calendar days of filing the Notice of Appeal. Failure to timely pay the filing fee or file the Affidavit of Indigency will result in dismissal of your appeal.
3. You are responsible for ensuring a complete record is presented on appeal. If no court reporter was present at the hearing, you may request from the Court Clerk the audio recording of the hearing for a $25.00 fee. If you choose to submit a transcript as part of your appeal, which the Appeals Board has emphasized is important for a meaningful review of the case, a licensed court reporter must prepare the transcript, and you must file it with the Court Clerk. The Court Clerk will prepare the record for submission to the Appeals Board, and you will receive notice once it has been submitted. For deadlines related to the filing of transcripts, statements of the evidence, and briefs on appeal, see the applicable rules on the Bureau’s website at https://www.tn.gov/wcappealsboard. (Click the “Read Rules” button.)
4. After the Workers’ Compensation Judge approves the record and the Court Clerk transmits it to the Appeals Board, a docketing notice will be sent to the parties. If neither party timely files an appeal with the Appeals Board, the Court Order becomes enforceable. See Tenn. Code Ann. § 50-6-239(d)(3) (expedited/interlocutory orders) and Tenn. Code Ann. § 50-6-239(c)(7) (compensation orders).
For self-represented litigants: Help from an Ombudsman is available at 800-332-2667. NOTICE OF APPEAL Tennessee Bureau of Workers’ Compensation www.tn.gov/workforce/injuries-at-work/ wc.courtclerk@tn.gov | 1-800-332-2667
Docket No.: ________________________
State File No.: ______________________
Date of Injury: _____________________
___________________________________________________________________________ Employee
v.
___________________________________________________________________________ Employer
Notice is given that ____________________________________________________________________ [List name(s) of all appealing party(ies). Use separate sheet if necessary.]
appeals the following order(s) of the Tennessee Court of Workers’ Compensation Claims to the Workers’ Compensation Appeals Board (check one or more applicable boxes and include the date file- stamped on the first page of the order(s) being appealed):
□ Expedited Hearing Order filed on _______________ □ Motion Order filed on ___________________ □ Compensation Order filed on__________________ □ Other Order filed on_____________________ issued by Judge _________________________________________________________________________.
Statement of the Issues on Appeal Provide a short and plain statement of the issues on appeal or basis for relief on appeal: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________
Parties Appellant(s) (Requesting Party): _________________________________________ ☐Employer ☐Employee Address: ________________________________________________________ Phone: ___________________ Email: __________________________________________________________ Attorney’s Name: ______________________________________________ BPR#: _______________________ Attorney’s Email: ______________________________________________ Phone: _______________________ Attorney’s Address: _________________________________________________________________________ * Attach an additional sheet for each additional Appellant *
LB-1099 rev. 01/20 Page 1 of 2 RDA 11082 Employee Name: _______________________________________ Docket No.: _____________________ Date of Inj.: _______________
Appellee(s) (Opposing Party): ___________________________________________ ☐Employer ☐Employee Appellee’s Address: ______________________________________________ Phone: ____________________ Email: _________________________________________________________ Attorney’s Name: _____________________________________________ BPR#: ________________________ Attorney’s Email: _____________________________________________ Phone: _______________________ Attorney’s Address: _________________________________________________________________________ * Attach an additional sheet for each additional Appellee *
CERTIFICATE OF SERVICE
I, _____________________________________________________________, certify that I have forwarded a true and exact copy of this Notice of Appeal by First Class mail, postage prepaid, or in any manner as described in Tennessee Compilation Rules & Regulations, Chapter 0800-02-21, to all parties and/or their attorneys in this case on this the __________ day of ___________________________________, 20 ____.
______________________________________________ [Signature of appellant or attorney for appellant]
LB-1099 rev. 01/20 Page 2 of 2 RDA 11082