CompFox AI Summary
The Workers' Compensation Appeals Board denied reconsideration of an award for medical treatment. The employer failed to meet its burden of proving timely communication of a utilization review (UR) decision as required by Labor Code section 4610(g)(3)(A). Since the UR decision was not timely communicated, it was deemed untimely. Consequently, the Board could determine the medical necessity of the proposed treatment based on the substantial medical evidence presented.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board denied reconsideration of an award for medical treatment. The employer failed to meet its burden of proving timely communication of a utilization review (UR) decision as required by Labor Code section 4610(g)(3)(A). Since the UR decision was not timely communicated, it was deemed untimely. Consequently, the Board could determine the medical necessity of the proposed treatment based on the substantial medical evidence presented.
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