Home/Case Law/IMELDA SANCHEZ vs. COUNTY OF FRESNO
Regular DecisionWorkers' Compensation

IMELDA SANCHEZ vs. COUNTY OF FRESNO

Filed: Mar 21, 2013
ADJ3425466 (FRE 0244904)

CompFox AI Summary

The Workers' Compensation Appeals Board affirmed the WCJ's finding that the County of Fresno neglected to provide adequate notice of the applicant's rights under its Medical Provider Network (MPN). This failure resulted in liability for the applicant's self-procured medical treatment from San Joaquin Accident and Medical Group. The Board found the defendant failed to prove proper initial MPN notification and subsequent transfer of care into the MPN. Therefore, the defendant is responsible for the reasonable costs of that treatment.

Full Decision Text1 Pages

The Workers' Compensation Appeals Board affirmed the WCJ's finding that the County of Fresno neglected to provide adequate notice of the applicant's rights under its Medical Provider Network (MPN). This failure resulted in liability for the applicant's self-procured medical treatment from San Joaquin Accident and Medical Group. The Board found the defendant failed to prove proper initial MPN notification and subsequent transfer of care into the MPN. Therefore, the defendant is responsible for the reasonable costs of that treatment.

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