CompFox AI Summary
The Appeals Board granted reconsideration of the WCJ's decision finding the defendant's Medical Provider Network (MPN) compliant. The applicant argued the WCJ improperly researched physician specialties and that the defendant failed to meet its burden of proving the MPN had sufficient pain management specialists. The Board found that due process requires the applicant to have an opportunity to rebut evidence, and that the WCJ's independent research improperly augmented the record. The case is returned to the WCJ for further proceedings to allow applicant rebuttal and develop the record.
Full Decision Text1 Pages
The Appeals Board granted reconsideration of the WCJ's decision finding the defendant's Medical Provider Network (MPN) compliant. The applicant argued the WCJ improperly researched physician specialties and that the defendant failed to meet its burden of proving the MPN had sufficient pain management specialists. The Board found that due process requires the applicant to have an opportunity to rebut evidence, and that the WCJ's independent research improperly augmented the record. The case is returned to the WCJ for further proceedings to allow applicant rebuttal and develop the record.
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