Home/Case Law/DELFINA MORENO vs. HARBORSIDE INNS OF SANTA BARBARA, INSURANCE COMPANY OF THE WEST, EXPLORER INSURANCE
Regular DecisionReconsideration

DELFINA MORENO vs. HARBORSIDE INNS OF SANTA BARBARA, INSURANCE COMPANY OF THE WEST, EXPLORER INSURANCE

Filed: Aug 16, 2010
ADJ126476

CompFox AI Summary

The Workers' Compensation Appeals Board denied reconsideration of a chiropractor's lien claim for $9,671.52. The Board found the lien claimant waived any challenge to the existence of the employer's Medical Provider Network (MPN) by failing to raise it before trial. Furthermore, the lien claimant failed to meet his burden of proving he was part of the defendant's MPN when providing services. Despite repeated notices that he was not authorized and not in the MPN, the chiropractor continued treatment, and the defendant is not obligated to pay for services procured outside the MPN.

Full Decision Text1 Pages

The Workers' Compensation Appeals Board denied reconsideration of a chiropractor's lien claim for $9,671.52. The Board found the lien claimant waived any challenge to the existence of the employer's Medical Provider Network (MPN) by failing to raise it before trial. Furthermore, the lien claimant failed to meet his burden of proving he was part of the defendant's MPN when providing services. Despite repeated notices that he was not authorized and not in the MPN, the chiropractor continued treatment, and the defendant is not obligated to pay for services procured outside the MPN.

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