CompFox AI Summary
The Appeals Board affirmed the WCJ's decision regarding lien claimant Monrovia Memorial Hospital's payment, awarding them $$52,000.00$. Monrovia sought additional payment and interest, arguing their services were not subject to the Official Medical Fee Schedule (OMFS) and should be paid on a reasonable cost basis. The Board found that while Monrovia is exempt from OMFS, lien claimants bear the burden of proving their charges are reasonable, not just their usual and customary fees. The claim for interest was also denied as Monrovia did not meet the criteria for payment under Labor Code section 4603.2.
Full Decision Text1 Pages
The Appeals Board affirmed the WCJ's decision regarding lien claimant Monrovia Memorial Hospital's payment, awarding them $$52,000.00$. Monrovia sought additional payment and interest, arguing their services were not subject to the Official Medical Fee Schedule (OMFS) and should be paid on a reasonable cost basis. The Board found that while Monrovia is exempt from OMFS, lien claimants bear the burden of proving their charges are reasonable, not just their usual and customary fees. The claim for interest was also denied as Monrovia did not meet the criteria for payment under Labor Code section 4603.2.
Read the full decision
Join + legal professionals. Create a free account to access the complete text of this decision and search our entire database.