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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