CompFox AI Summary
The Appeals Board affirmed the WCJ's finding that the reasonable value of outpatient surgery services was $9,692.93, with the defendant credited for prior payments. The lien claimant sought payment for the full $74,259.95, arguing the defendant bore the burden of proving charges were unreasonable. However, the Board adopted the WCJ's decision, finding the evidence insufficient to support the higher amount. Crucially, the Board removed the case to itself to consider imposing sanctions against the lien claimant and its representatives for potentially filing a frivolous petition.
Full Decision Text1 Pages
The Appeals Board affirmed the WCJ's finding that the reasonable value of outpatient surgery services was $9,692.93, with the defendant credited for prior payments. The lien claimant sought payment for the full $74,259.95, arguing the defendant bore the burden of proving charges were unreasonable. However, the Board adopted the WCJ's decision, finding the evidence insufficient to support the higher amount. Crucially, the Board removed the case to itself to consider imposing sanctions against the lien claimant and its representatives for potentially filing a frivolous petition.
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