CompFox AI Summary
This case involves applicant John Sabelberg's petition for reconsideration of a decision denying his appeal of an Independent Medical Review (IMR). The IMR upheld a utilization review decision that disallowed a prescription for Ambien, citing long-term use and contraindications with other prescribed medications and alcohol consumption. The Workers' Compensation Appeals Board denied reconsideration, holding that Labor Code section 4610.6(h) precludes challenging an IMR determination based on allegations of incorrect medical judgment. The Board found that applicant failed to demonstrate any grounds for overturning the IMR decision as required by statute.
Full Decision Text1 Pages
This case involves applicant John Sabelberg's petition for reconsideration of a decision denying his appeal of an Independent Medical Review (IMR). The IMR upheld a utilization review decision that disallowed a prescription for Ambien, citing long-term use and contraindications with other prescribed medications and alcohol consumption. The Workers' Compensation Appeals Board denied reconsideration, holding that Labor Code section 4610.6(h) precludes challenging an IMR determination based on allegations of incorrect medical judgment. The Board found that applicant failed to demonstrate any grounds for overturning the IMR decision as required by statute.
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