CompFox AI Summary
Defendant sought reconsideration of a WCJ's finding that its Utilization Review (UR) process certified a Request for Authorization (RFA) and that the court lacked jurisdiction to alter this determination, while also ordering defendant to authorize treatment. The Appeals Board granted reconsideration to admit trial exhibits and amend findings of fact regarding the UR determination. The Board affirmed the WCJ's decision, concluding that the November 16, 2023 UR decision was timely and valid, and that the WCJ appropriately exercised authority to order compliance with the UR determination.
Full Decision Text1 Pages
Defendant sought reconsideration of a WCJ's finding that its Utilization Review (UR) process certified a Request for Authorization (RFA) and that the court lacked jurisdiction to alter this determination, while also ordering defendant to authorize treatment. The Appeals Board granted reconsideration to admit trial exhibits and amend findings of fact regarding the UR determination. The Board affirmed the WCJ's decision, concluding that the November 16, 2023 UR decision was timely and valid, and that the WCJ appropriately exercised authority to order compliance with the UR determination.
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