Home/Case Law/CLEVETTE THOMAS vs. WELLPOINT, INC.; ZURICH NORTH AMERICA
Regular DecisionReconsideration

CLEVETTE THOMAS vs. WELLPOINT, INC.; ZURICH NORTH AMERICA

Filed: Mar 27, 2014
ADJ2973393 (LAO 0883929)

CompFox AI Summary

The Workers' Compensation Appeals Board granted reconsideration to a lien claimant seeking reimbursement for a Functional Capacity Evaluation (FCE). The Board found sufficient evidence that the FCE was requested by the applicant's primary treating physician, Dr. Mays, despite the lack of formal designation. The Board also noted the defendant's failure to respond to the authorization request for the FCE. Ultimately, the Board rescinded the judge's denial and ordered reimbursement for the lien claimant's services.

Full Decision Text1 Pages

The Workers' Compensation Appeals Board granted reconsideration to a lien claimant seeking reimbursement for a Functional Capacity Evaluation (FCE). The Board found sufficient evidence that the FCE was requested by the applicant's primary treating physician, Dr. Mays, despite the lack of formal designation. The Board also noted the defendant's failure to respond to the authorization request for the FCE. Ultimately, the Board rescinded the judge's denial and ordered reimbursement for the lien claimant's services.

Read the full decision

Join + legal professionals. Create a free account to access the complete text of this decision and search our entire database.

Ready to streamline your practice?

Apply these legal strategies instantly. CompFox helps you find decisions, analyze reports, and draft pleadings in minutes.