Home/Case Law/ALLEN AMES vs. COINMACH LAUNDRY, ARROWHEAD INDEMNITY COMPANY
Regular DecisionReconsideration

ALLEN AMES vs. COINMACH LAUNDRY, ARROWHEAD INDEMNITY COMPANY

Filed: Jan 23, 2015
ADJ369598 (OAK 0301691)

CompFox AI Summary

The Appeals Board granted reconsideration to review the WCJ's award of medical treatment based on untimely utilization review (UR) and a previous case. The Board rescinded the WCJ's decision due to a dispute over the timeliness of the UR denial, returning the matter for further development of the record on that specific issue. However, the Board did award a left-sided rhizotomy based on the parties' stipulation, as the applicant had not yet obtained the authorized treatment. The issue of a spinal cord stimulator was deferred as the authorization request was made post-hearing.

Full Decision Text1 Pages

The Appeals Board granted reconsideration to review the WCJ's award of medical treatment based on untimely utilization review (UR) and a previous case. The Board rescinded the WCJ's decision due to a dispute over the timeliness of the UR denial, returning the matter for further development of the record on that specific issue. However, the Board did award a left-sided rhizotomy based on the parties' stipulation, as the applicant had not yet obtained the authorized treatment. The issue of a spinal cord stimulator was deferred as the authorization request was made post-hearing.

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