CompFox AI Summary
This case involves an applicant's right knee injury where the defendant denied a requested surgery via utilization review (UR). The applicant proceeded directly to an expedited hearing, bypassing the required statutory dispute resolution process under Labor Code Section 4062. The Appeals Board dismissed the defendant's petition for removal but granted reconsideration on its own motion to address the procedural error. The WCJ's decision was rescinded, and the case was returned to the trial level to allow the applicant to properly pursue the Section 4062 process.
Full Decision Text1 Pages
This case involves an applicant's right knee injury where the defendant denied a requested surgery via utilization review (UR). The applicant proceeded directly to an expedited hearing, bypassing the required statutory dispute resolution process under Labor Code Section 4062. The Appeals Board dismissed the defendant's petition for removal but granted reconsideration on its own motion to address the procedural error. The WCJ's decision was rescinded, and the case was returned to the trial level to allow the applicant to properly pursue the Section 4062 process.
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