CompFox AI Summary
The Workers' Compensation Appeals Board granted reconsideration and rescinded a prior order, finding insufficient evidence to support the lien claimant's claim for chiropractic services. The Appeals Board ruled that the lien claimant failed to meet its burden of proving the medical necessity and reasonableness of the treatment provided by Dr. Brady. The case is returned to the trial level for further development of the record, specifically requiring the Agreed Medical Examiner to opine on the reasonableness and necessity of the chiropractic services. The Appeals Board also noted the untimeliness of the lien claimant's opposition, but granted reconsideration on the merits.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board granted reconsideration and rescinded a prior order, finding insufficient evidence to support the lien claimant's claim for chiropractic services. The Appeals Board ruled that the lien claimant failed to meet its burden of proving the medical necessity and reasonableness of the treatment provided by Dr. Brady. The case is returned to the trial level for further development of the record, specifically requiring the Agreed Medical Examiner to opine on the reasonableness and necessity of the chiropractic services. The Appeals Board also noted the untimeliness of the lien claimant's opposition, but granted reconsideration on the merits.
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