Home/Case Law/MELANIE HATHAWAY vs. COUNTY OF FRESNO, AMERICAN ALL RISK LOSS ADMINISTRATORS
Regular DecisionReconsideration

MELANIE HATHAWAY vs. COUNTY OF FRESNO, AMERICAN ALL RISK LOSS ADMINISTRATORS

Filed: Sep 22, 2015
Fresno
ADJ8457565

CompFox AI Summary

In Hathaway v. County of Fresno, the Workers' Compensation Appeals Board granted reconsideration and deferred issues of temporary disability and self-procured medical treatment. The Board found that the applicant's pre-designated physician status may have rendered the defendant's denial of an out-of-network specialist improper under then-existing regulations. Therefore, the case was remanded to determine if the defendant's authorization denial was erroneous before assessing liability for the applicant's self-procured surgery and associated temporary disability.

Full Decision Text1 Pages

In Hathaway v. County of Fresno, the Workers' Compensation Appeals Board granted reconsideration and deferred issues of temporary disability and self-procured medical treatment. The Board found that the applicant's pre-designated physician status may have rendered the defendant's denial of an out-of-network specialist improper under then-existing regulations. Therefore, the case was remanded to determine if the defendant's authorization denial was erroneous before assessing liability for the applicant's self-procured surgery and associated temporary disability.

Read the full decision

Join + legal professionals. Create a free account to access the complete text of this decision and search our entire database.

Ready to streamline your practice?

Apply these legal strategies instantly. CompFox helps you find decisions, analyze reports, and draft pleadings in minutes.