Home/Case Law/JUSTINO MONTIEL vs. SOCAL FRAMINGS, INC., REDWOOD FIRE & CASUALTY INSURANCE, BERKSHIRE HATHAWAY HOMESTATE INSURANCE COMPANIES
Regular DecisionReconsideration

JUSTINO MONTIEL vs. SOCAL FRAMINGS, INC., REDWOOD FIRE & CASUALTY INSURANCE, BERKSHIRE HATHAWAY HOMESTATE INSURANCE COMPANIES

Filed: Dec 03, 2020
San Bernardino
ADJ13096148

CompFox AI Summary

The applicant properly selected Dr. Patterson at Casa Colina as his treating physician for his admitted injury, as Casa Colina is listed as a provider within the defendant's Medical Provider Network (MPN). The Board affirmed the WCJ's decision, finding that an acknowledgment of MPN membership is not required for physicians who are shareholders, partners, or employees of a medical group that has elected to participate in the MPN. The defendant failed to provide evidence that Casa Colina's participation was limited to ancillary services. Therefore, the defendant's petition for reconsideration was denied.

Full Decision Text1 Pages

The applicant properly selected Dr. Patterson at Casa Colina as his treating physician for his admitted injury, as Casa Colina is listed as a provider within the defendant's Medical Provider Network (MPN). The Board affirmed the WCJ's decision, finding that an acknowledgment of MPN membership is not required for physicians who are shareholders, partners, or employees of a medical group that has elected to participate in the MPN. The defendant failed to provide evidence that Casa Colina's participation was limited to ancillary services. Therefore, the defendant's petition for reconsideration was denied.

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