CompFox AI Summary
This case involves a lien claimant, Wilshire Surgicenter, seeking reconsideration of a Workers' Compensation Appeals Board (WCAB) decision that disallowed the majority of its $$18,148$ lien claim. Wilshire argued the judge improperly considered the Official Medical Fee Schedule (OMFS) and requested removal due to alleged bias. The WCAB denied reconsideration and removal, affirming that Wilshire failed to meet its burden of proving the reasonableness of its charges, as even its own witness suggested a lower "reasonable" amount. The WCAB also clarified that the judge's decision was based on evidence of unreasonableness, not bias.
Full Decision Text1 Pages
This case involves a lien claimant, Wilshire Surgicenter, seeking reconsideration of a Workers' Compensation Appeals Board (WCAB) decision that disallowed the majority of its $$18,148$ lien claim. Wilshire argued the judge improperly considered the Official Medical Fee Schedule (OMFS) and requested removal due to alleged bias. The WCAB denied reconsideration and removal, affirming that Wilshire failed to meet its burden of proving the reasonableness of its charges, as even its own witness suggested a lower "reasonable" amount. The WCAB also clarified that the judge's decision was based on evidence of unreasonableness, not bias.
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