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To the Editor::—
May I call your attention to the following action taken by the Lumbermens Mutual Casualty Company, 4750 Sheridan Road, Chicago:Recently I received many communications from members of the Chicago Society of Industrial Medicine and Surgery stating that they had been sent a flat fee of $4.50 on all bills they had rendered to the Lumbermens Mutual Casualty Company for medical services to injured employees coming under the Illinois workmen's compensation act when these employees lost no time from work. This $4.50 was to remunerate them for their services regardless of the size of their bill, in some instances the bill running well above $20 but rarely as low as $4.50. This action was taken without consulting the doctors in question, and on making inquiry of Mr. Howe, second vice president and general claim manager, they were informed that, from a study the Lumbermens Mutual Casualty Company
Nordholz WC. FLAT FEES IN INDUSTRIAL MEDICAL SERVICE. JAMA. 1934;103(21):1641. doi:10.1001/jama.1934.02750470063023