Home/Case Law/ABAS GORBANWAND vs. PACIFIC GIS, INC. dba SULTAN ADHC, OAK RIVER INSURANCE, BERKSHIRE HATHAWAY HOMESTATE COMPANIES
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ABAS GORBANWAND vs. PACIFIC GIS, INC. dba SULTAN ADHC, OAK RIVER INSURANCE, BERKSHIRE HATHAWAY HOMESTATE COMPANIES

Filed: Sep 13, 2019
Santa Ana
ADJ10836918

CompFox AI Summary

This case concerns an injured worker's claim that the defendant's Medical Provider Network (MPN) was invalid, entitling him to outside medical treatment. The Workers' Compensation Appeals Board affirmed the finding that a valid MPN existed. The Board determined that the applicant failed to prove the MPN lacked sufficient providers within the required access standards. Therefore, the applicant was not entitled to treatment outside the MPN at the defendant's expense, though they could use Dr. Bernstein at their own cost.

Full Decision Text1 Pages

This case concerns an injured worker's claim that the defendant's Medical Provider Network (MPN) was invalid, entitling him to outside medical treatment. The Workers' Compensation Appeals Board affirmed the finding that a valid MPN existed. The Board determined that the applicant failed to prove the MPN lacked sufficient providers within the required access standards. Therefore, the applicant was not entitled to treatment outside the MPN at the defendant's expense, though they could use Dr. Bernstein at their own cost.

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ABAS GORBANWAND vs. PACIFIC GIS, INC. dba SULTAN ADHC, OAK RIVER INSURANCE, BERKSHIRE HATHAWAY HOMESTATE COMPANIES (2019) – Santa Ana | CompFox