Home/Case Law/Janice Taylor vs. Blue Go Transit Management, QBE North America
Regular DecisionWorkers' Compensation

Janice Taylor vs. Blue Go Transit Management, QBE North America

Filed: Dec 10, 2015
Sacramento
ADJ7766654

CompFox AI Summary

The Workers' Compensation Appeals Board (WCAB) granted reconsideration to review a decision regarding applicant Janice Taylor's industrial spine and psyche injuries. The defendant contended that a utilization review (UR) decision denying requested home health care services was timely communicated. However, the WCAB found the UR decision untimely because it was not served on the applicant's attorney as required by regulation. Consequently, the WCAB affirmed the applicant's entitlement to home health care services based on prior stipulations and substantial medical evidence, while deferring the issues of an epidural steroid injection and physical therapy.

Full Decision Text1 Pages

The Workers' Compensation Appeals Board (WCAB) granted reconsideration to review a decision regarding applicant Janice Taylor's industrial spine and psyche injuries. The defendant contended that a utilization review (UR) decision denying requested home health care services was timely communicated. However, the WCAB found the UR decision untimely because it was not served on the applicant's attorney as required by regulation. Consequently, the WCAB affirmed the applicant's entitlement to home health care services based on prior stipulations and substantial medical evidence, while deferring the issues of an epidural steroid injection and physical therapy.

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