Home/Case Law/MANUEL CARDOZA vs. CORSICAN FURNITURE, ZENITH INSURANCE COMPANY
Regular Decision

MANUEL CARDOZA vs. CORSICAN FURNITURE, ZENITH INSURANCE COMPANY

Filed: Nov 15, 2010
San Francisco
ADJ 2302916

CompFox AI Summary

The Workers' Compensation Appeals Board denied the lien claimant's petition for reconsideration. The lien claimant sought payment for medical devices provided to the applicant, arguing the treatment was reasonable and the employer improperly handled utilization review. The Board found the lien claimant failed to meet its burden of proof by submitting a prescription that did not meet the statutory standards for a medical report. Furthermore, the request for authorization for treatment was not in the proper format to trigger utilization review.

Full Decision Text1 Pages

The Workers' Compensation Appeals Board denied the lien claimant's petition for reconsideration. The lien claimant sought payment for medical devices provided to the applicant, arguing the treatment was reasonable and the employer improperly handled utilization review. The Board found the lien claimant failed to meet its burden of proof by submitting a prescription that did not meet the statutory standards for a medical report. Furthermore, the request for authorization for treatment was not in the proper format to trigger utilization review.

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MANUEL CARDOZA vs. CORSICAN FURNITURE, ZENITH INSURANCE COMPANY (2010) – San Francisco | CompFox