Home/Case Law/BRET ROSS vs. ALLERGAN, INC., AMERICAN HOME ASSURANCE
Regular DecisionReconsideration

BRET ROSS vs. ALLERGAN, INC., AMERICAN HOME ASSURANCE

Filed: Sep 30, 2011
ADJ2148650

CompFox AI Summary

The Workers' Compensation Appeals Board granted reconsideration and rescinded a prior decision because the judge failed to make findings on all issues presented. The applicant sought reconsideration of a ruling requiring all medical treatment disputes to go through utilization review (UR), arguing this was unnecessary for chronic conditions. While UR is generally required per Labor Code §4610, the Board found the judge's decision was deficient by not addressing issues like liability for self-procured treatment or treatment outside the MPN. The case was returned to the trial level for a new decision that addresses all disputed issues.

Full Decision Text1 Pages

The Workers' Compensation Appeals Board granted reconsideration and rescinded a prior decision because the judge failed to make findings on all issues presented. The applicant sought reconsideration of a ruling requiring all medical treatment disputes to go through utilization review (UR), arguing this was unnecessary for chronic conditions. While UR is generally required per Labor Code §4610, the Board found the judge's decision was deficient by not addressing issues like liability for self-procured treatment or treatment outside the MPN. The case was returned to the trial level for a new decision that addresses all disputed issues.

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