CompFox AI Summary
The Workers' Compensation Appeals Board denied a lien claimant's petition for reconsideration of an administrative law judge's decision. The judge had previously denied the lien in its entirety, finding that treatment provided outside the approved Medical Provider Network (MPN) was unauthorized. The Board affirmed this, holding that the applicant failed to follow MPN procedures for seeking further opinions before obtaining treatment outside the network. Therefore, the lien claimant was not entitled to payment for the unauthorized treatment.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board denied a lien claimant's petition for reconsideration of an administrative law judge's decision. The judge had previously denied the lien in its entirety, finding that treatment provided outside the approved Medical Provider Network (MPN) was unauthorized. The Board affirmed this, holding that the applicant failed to follow MPN procedures for seeking further opinions before obtaining treatment outside the network. Therefore, the lien claimant was not entitled to payment for the unauthorized treatment.
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