101 R.I. 455 224 A.2d 612

224 A.2d 612.

J. Brendan Wynne, D. O. vs. The Pawtuxet Valley Dyeing Company, Inc. Eugene Cozza, D. O. vs. The Pawtuxet Valley Dyeing Company, Inc.

DECEMBER 5, 1966.

Present: Roberts, C. J., Paolino, Powers, Joslin and Kelleher, JJ.

Kelleher, J.

These 'are two petitions for the payment of medical services rendered by both .petitioners to an employee of the respondent. They were consolidated for a hearing before the trial commissioner and thereafter a decree was entered in each cause granting the relief prayed for. The respondent- thereupon appealed toi the full commission where a decree was- entered in each cause which *456reversed the decree of the trial commissioner on the ground that he had no jurisdiction to entertain the petition. The causes have been consolidated here and .are before us on the appeals of the respective petitioners.

Both petitioners are osteopathic physicians duly licensed to practice in the state of Rhode Island. They seek payment for professional services rendered Raymond Redfearn who was injured while working as an employee of respondent.

Redfearn testified at the hearing held before the trial commissioner. On Thursday, August 27, 1964, he was employed by respondent as a “scale operator.” On that day while lifting a roll of material he lost his balance, fell against a scale, and injured his back. Although in pain, he finished his shift on Thursday and worked the next day. After work on Friday, August 28, 1964, he consulted with Dr. Eugene A. Cozza. Redfearn did not return to work but remained at home where he received daily treatments from Dr. Cozza. On September 5, 1964, he was admitted to the hospital and came under the care of Dr. J. Brendan Wynne. Redfearn up to- this time had told both physicians that he did not want to make a compensation claim as he thought his1 disability was minor. X rays taken at the hospital, however, disclosed the presence of a possible ruptured disc, and on September 14 Dr. Wynne with Dr. Cozza assisting performed a lumbar laminectomy on Redfearn. The employee was discharged from the hospital on September 21, 1964. He continued his treatment with petitioners, experienced an excellent recovery and returned to work on November 16, 1964.

Two- days -after his return to work, Redfearn and an adjuster for respondent’s insurance carrier executed a nonprejudicial agreement whereby the employee received compensation payments of $40 a week for each of the eleven weeks he was absent from work.

Neither petitioner had any communication with the respondent or its insurance carrier prior to the surgery of *457September 14, 1964. Any contact they had occurred after Redfearn’s operation. For Dr. Colza’s part, it consisted periodically of sending to respondent’s insurance carrier his 'bill for services rendered Redfeam. Doctor Wynne not only forwarded his- bill to the carrier but he also furnished certain medical reports it requested.

Their bills not being honored, petitioners have commenced the present proceedings. In the hearing before the trial commissioner respondent not only contended that the workmen’s 'compensation commission had no jurisdiction to hear these petitions but it also claimed that the bills did not qualify for payment under the workmen’s compensation act because petitioners failed to ¡comply with various provisions of the act, one of which -calls for respondent’s permission for major surgery while still another requires not only the furnishing -of notice to it by the .physicians of their employment but also periodic reports as to the- employee’s condition.

The sole issue before us, however, is whether the workmen’s compensation commission had jurisdiction to hear these petitions where in each cause payment is sought by a physician from an employer under the provisions of the workmen’s compensation act for services rendered to its employee.

We answer the question posed- by this issue in the negative.

Any right- these petitioners might have to- pursue their petitions must be found within the terms of the- workmen’s ¡compensation act. We have examined the -act -and can find no provision which confers upon the commission the power to hear these petitions.

In 1927 this court in Henry v. American Enamel Co., 48 R. I. 113, stated that under the provisions of the workmen’s compensation act of that -era a physician could bring a petition under the pertinent compensation statute directly *458against an employer for payment of services rendered an injured employee. There we stated 'that a provision contained in G. L. 1923, chap. 92, art. II, see. 5 (1216), the material portion of which stated that “The employee shall have the right to' select the physician, by whom * * * he desires to be treated, but the employer shah, become liable to such physician * * * for the reasonable fees for such treatment” created a new right in favor of a physician against the employer. We also .pointed out that prior to the enactment of this provision no one other than an employee, or a person who had paid the expenses of an employee’s last sickness and burial, could proceed directly against the employer.

By definition in the original compensation act of 1912 the term “employee” included the employee, his representatives, dependents, conservators or guardian. It did not then nor does it now include the term physician. It was only because of the presence of the language found in sec. 5 of art. II, chap. 92, G. L. 1923, .that we recognized the right of the physician to .proceed under the compensation act directly against the employer independently of any proceedings instituted by the employee. This, language, however, was not in the original compensation act.

The provision which created this, right for a physician remained in our workmen’s compensation act during the several amendments which have been made to' it through the years following 1923 until the year 1954. In that year the general assembly enacted ichap. 3297 which revised the workmen's compensation act in its entirety and also established the workmen’s compensation commission, transferring to it the jurisdiction to hear those matters previously heard iby the superior court.

An examination of the act dhows that the statutory provision which in Henry was construed to give the physician the right to proceed under the- compensation statute was *459not retained in the 1954 revision. Section 5 of G. L. 1923, •chap. 92, art. II, was embodied in see. 5 (b) of P. L. 1954, chap. 3297, art. II. As we have stated, the pertinent language found in sec. 5 in 1923 was missing from the 1954 statute and it cannot be found in the statute under consideration in these causes, to wit, G. L. 1956, §28-33-8, as amended. We deem this omission to be significant. The absence of the language quoted in Henry eff ectively negates any ruling in that case which stood for the proposition that a physician could bring his own petition under our workmen’s compensation act independent of any action by the employee.

It is interesting to note that the definition of “employee” .as found in §28-29-2 (lb) of our present act is substantially the same as it was in 1912. Section 28-30-13 of the compensation act states that any controversy over which the commission has jurisdiction including compensation and reasonableness of medical ¡and hospital bills shall be submitted to the commission in the manner provided in chap. 35 of title 28.

In Carr v. General Insulated Wire Works, Inc., 97 R. I. 487, 199 A.2d 24, we held that the provisions set forth in this chapter are mandatory. There we held that pursuant to the provisions of §28-35-27 the trial commissioner had no jurisdiction to reopen a case once he had made a decision within the ten-day period set forth in the statute.

An analysis of chap. 35 of title 28 fails to uncover any provision which would give the right to a physician to petition the workmen’s compensation commission for payment of his bills. Section 28-35-7 states that an agreement approved by the director of labor shall be enforced by suitable action or proceedings being brought before the workmen’s compensation commission by either party to the agreement. If petitioners’ applications, for payment are based upon the nonprejudioial agreement, this- section offers *460them no -assistance as they are not parties to the agreement. Section '28-35-12, -as amended, provides that if no agreement relative to -compensation is reached, either th-e employer or the employee may file a petition with the workmen’s compensation commission. There is a further provision in this section which states that in ease of the death of the employee from his injury, his duly -authorized representative, his dependents, or if there is any dispute among them any person in interest may be a proper party to- the proceedings. Nowhere i-n -this chapter or in the workmen’s compensation act is there any authority which would permit a physician to file a petition such as was done in the causes- before us.

In Landry v. Cornell Construction Co., 87 R. I. 4, the workmen’s -compensation -commission was described as a creat-ure o-f statute and accordingly derives whatever po-wer it possesses from the enactments of the legislature. Mindful as we are that the provisions of the workmen’s compensation act are to- be given a liberal construction, any authority to be given to a physician to- proceed under the act against an employer for payment for services rendered an injured employee must -come by legislative mandate. Since- the general assembly has been sil-e-nt in this area, we cannot, by judicial interpretation, fill the void.

It is undisputed that the employee, Mr. Redfearn, has mot seen fit to file .any petition with the commission for the-payment -o-f the services performed in -his behalf by -the petitioners. This -'being so, the -petitioners are- fre-e to use whatever remedies- they may have to be paid for the professional services they have so skillfully rendered.

In each cause the'petitioner’s appeal is denied and dismissed, the decree .appealed from is affirmed, and each cause *461is 'remandad to the workmen’s .compensation commission for further proceedings.

Carroll, Kelly & Murphy, Joseph A. Kelly, for petitioners.

Francis V. Reynolds, Bernard W. Boyer, for respondent.

Wynne v. Pawtuxet Valley Dyeing Co.
101 R.I. 455 224 A.2d 612

Case Details

Name
Wynne v. Pawtuxet Valley Dyeing Co.
Decision Date
Dec 5, 1966
Citations

101 R.I. 455

224 A.2d 612

Jurisdiction
Rhode Island

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