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Regular DecisionWorkers' Compensation

JASMELITA ASPER vs. HILTON, AMERICAN PROTECTION INSURANCE COMPANY

Filed: Jan 05, 2012
ADJ251564 (SAC 0318113)

CompFox AI Summary

The Workers' Compensation Appeals Board rescinded a prior order that found Dr. Mata's treatment reasonable and necessary. The Board found that Dr. Mata, as the lien claimant, failed to meet his burden of proof by not submitting sufficient evidence, such as itemized bills, to demonstrate the reasonableness and necessity of his services. Therefore, Dr. Mata's lien claim was disallowed. One commissioner dissented, agreeing with the original administrative judge that Dr. Mata's reporting was sufficient given the admitted injury and lack of contrary evidence from the defendant.

Full Decision Text1 Pages

The Workers' Compensation Appeals Board rescinded a prior order that found Dr. Mata's treatment reasonable and necessary. The Board found that Dr. Mata, as the lien claimant, failed to meet his burden of proof by not submitting sufficient evidence, such as itemized bills, to demonstrate the reasonableness and necessity of his services. Therefore, Dr. Mata's lien claim was disallowed. One commissioner dissented, agreeing with the original administrative judge that Dr. Mata's reporting was sufficient given the admitted injury and lack of contrary evidence from the defendant.

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JASMELITA ASPER vs. HILTON, AMERICAN PROTECTION INSURANCE COMPANY (2012) – | CompFox