CompFox AI Summary
This case concerns a lien claimant's petition for reconsideration of a disallowed medical treatment lien. The Workers' Compensation Appeals Board (WCAB) denied the petition, affirming the administrative law judge's finding that the lien lacked evidence of reasonableness. The WCAB found the lien claimant's initial request for authorization deficient under California regulations and its subsequent request, though potentially compliant, was timely denied via utilization review. Furthermore, an agreed medical evaluator had previously opined against the necessity of the treatments in question.
Full Decision Text1 Pages
This case concerns a lien claimant's petition for reconsideration of a disallowed medical treatment lien. The Workers' Compensation Appeals Board (WCAB) denied the petition, affirming the administrative law judge's finding that the lien lacked evidence of reasonableness. The WCAB found the lien claimant's initial request for authorization deficient under California regulations and its subsequent request, though potentially compliant, was timely denied via utilization review. Furthermore, an agreed medical evaluator had previously opined against the necessity of the treatments in question.
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