CompFox AI Summary
The Workers' Compensation Appeals Board granted reconsideration and reversed a prior finding, determining that Dr. Duell's lien claim for medical treatment was not allowable. The Board found that the employer timely denied authorization for the treatment through utilization review, and the treatment was inconsistent with the ACOEM Guidelines. Furthermore, the applicant failed to properly dispute the utilization review denial as required by law. Consequently, Dr. Duell is awarded nothing on his lien claim.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board granted reconsideration and reversed a prior finding, determining that Dr. Duell's lien claim for medical treatment was not allowable. The Board found that the employer timely denied authorization for the treatment through utilization review, and the treatment was inconsistent with the ACOEM Guidelines. Furthermore, the applicant failed to properly dispute the utilization review denial as required by law. Consequently, Dr. Duell is awarded nothing on his lien claim.
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