CompFox AI Summary
The Workers' Compensation Appeals Board (WCAB) affirmed the prior findings and order in this case concerning Amy Heyman's claim against AT&T Mobility Services. The WCAB determined it lacked jurisdiction to rule on the necessity of home health care because the Utilization Review (UR) determination for the request was timely. The Board found the UR decision was issued within the statutory timeframe based on the received date of the request. Therefore, disputes regarding the medical necessity of the home health care must be resolved through Independent Medical Review (IMR).
Full Decision Text1 Pages
The Workers' Compensation Appeals Board (WCAB) affirmed the prior findings and order in this case concerning Amy Heyman's claim against AT&T Mobility Services. The WCAB determined it lacked jurisdiction to rule on the necessity of home health care because the Utilization Review (UR) determination for the request was timely. The Board found the UR decision was issued within the statutory timeframe based on the received date of the request. Therefore, disputes regarding the medical necessity of the home health care must be resolved through Independent Medical Review (IMR).
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