CompFox AI Summary
This case involves a defendant hospital's petition for reconsideration of a Workers' Compensation Appeals Board (WCAB) decision. The WCAB previously found the hospital's utilization review denial untimely, thus retaining jurisdiction to determine the necessity of the applicant's artificial disc replacement surgery. The WCAB affirmed the finding that the surgery was reasonably necessary, amending the basis for the untimely denial to focus on service notification errors. The defendant argued the administrative rules regarding notification to counsel conflicted with Labor Code section 4610, but the WCAB found no such conflict, upholding its prior decision.
Full Decision Text1 Pages
This case involves a defendant hospital's petition for reconsideration of a Workers' Compensation Appeals Board (WCAB) decision. The WCAB previously found the hospital's utilization review denial untimely, thus retaining jurisdiction to determine the necessity of the applicant's artificial disc replacement surgery. The WCAB affirmed the finding that the surgery was reasonably necessary, amending the basis for the untimely denial to focus on service notification errors. The defendant argued the administrative rules regarding notification to counsel conflicted with Labor Code section 4610, but the WCAB found no such conflict, upholding its prior decision.
Read the full decision
Join + legal professionals. Create a free account to access the complete text of this decision and search our entire database.