CompFox AI Summary
The Workers' Compensation Appeals Board (WCAB) granted reconsideration and rescinded a prior award, finding that the applicant sustained industrial injury to his low back but not his kidneys or abdomen, and his occupation was a material handler/machine loader (group 460). The WCAB found that the opinions of the applicant's Qualified Medical Evaluator (QME) were not substantial evidence due to numerous discrepancies and an inadequate history. The WCAB also found the primary treating physician's (PTP) reports insufficient as they were stale, not based on an accurate history, and lacked review of all medical records. The case was returned to the WCJ for further proceedings on all other deferred issues.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board (WCAB) granted reconsideration and rescinded a prior award, finding that the applicant sustained industrial injury to his low back but not his kidneys or abdomen, and his occupation was a material handler/machine loader (group 460). The WCAB found that the opinions of the applicant's Qualified Medical Evaluator (QME) were not substantial evidence due to numerous discrepancies and an inadequate history. The WCAB also found the primary treating physician's (PTP) reports insufficient as they were stale, not based on an accurate history, and lacked review of all medical records. The case was returned to the WCJ for further proceedings on all other deferred issues.
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