Home/Case Law/JESUS GONZALEZ vs. WESTLAR INC.; SOUTHEAST PERSONNEL LEASING, INC.; STATE NATIONAL INSURANCE Administered By PACKARD CLAIMS ADMINISTRATION, INC.
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JESUS GONZALEZ vs. WESTLAR INC.; SOUTHEAST PERSONNEL LEASING, INC.; STATE NATIONAL INSURANCE Administered By PACKARD CLAIMS ADMINISTRATION, INC.

Filed: Jun 20, 2019
Los Angeles
ADJ11162420

CompFox AI Summary

This case concerns a workers' compensation applicant who sustained an industrial injury. The defendant failed to conduct timely utilization review (UR) on a request for inpatient care and transportation services from the applicant's treating physician. Because the defendant did not follow proper procedures for UR and notice, the Workers' Compensation Appeals Board (WCAB) upheld the finding that applicant's continued inpatient care was reasonably required. Consequently, the defendant's petition for reconsideration was denied.

Full Decision Text1 Pages

This case concerns a workers' compensation applicant who sustained an industrial injury. The defendant failed to conduct timely utilization review (UR) on a request for inpatient care and transportation services from the applicant's treating physician. Because the defendant did not follow proper procedures for UR and notice, the Workers' Compensation Appeals Board (WCAB) upheld the finding that applicant's continued inpatient care was reasonably required. Consequently, the defendant's petition for reconsideration was denied.

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