CompFox AI Summary
The Appeals Board granted reconsideration and reversed a prior finding, holding it lacks jurisdiction over Tri-City Medical Center's lien claim for applicant's treatment. The Board found that a chain of contracts between Tri-City, Blue Cross, and SCIF constituted an "express agreement" as contemplated by Labor Code Section 5304. This agreement fixed the payment amounts for medical treatment, thereby divesting the Appeals Board of jurisdiction to determine the lien claim's value. Consequently, Tri-City Medical Center's lien claim was denied due to lack of jurisdiction.
Full Decision Text1 Pages
The Appeals Board granted reconsideration and reversed a prior finding, holding it lacks jurisdiction over Tri-City Medical Center's lien claim for applicant's treatment. The Board found that a chain of contracts between Tri-City, Blue Cross, and SCIF constituted an "express agreement" as contemplated by Labor Code Section 5304. This agreement fixed the payment amounts for medical treatment, thereby divesting the Appeals Board of jurisdiction to determine the lien claim's value. Consequently, Tri-City Medical Center's lien claim was denied due to lack of jurisdiction.
Read the full decision
Join + legal professionals. Create a free account to access the complete text of this decision and search our entire database.