CompFox AI Summary
The Workers' Compensation Appeals Board denied a lien claimant's petition for reconsideration, affirming the judge's order that the lien claimant receive nothing. The Board found the lien claimant failed to prove the applicant sustained an industrial injury AOE/COE, as a Compromise and Release does not automatically stipulate to this. Even if injury AOE/COE were proven, the Board noted the treatment provided, including narcotics and "medical foods," was inconsistent with the QME's recommendation for non-narcotic pain medication. The lien claimant also failed to provide evidence of requested authorization for the disputed treatment.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board denied a lien claimant's petition for reconsideration, affirming the judge's order that the lien claimant receive nothing. The Board found the lien claimant failed to prove the applicant sustained an industrial injury AOE/COE, as a Compromise and Release does not automatically stipulate to this. Even if injury AOE/COE were proven, the Board noted the treatment provided, including narcotics and "medical foods," was inconsistent with the QME's recommendation for non-narcotic pain medication. The lien claimant also failed to provide evidence of requested authorization for the disputed treatment.
Read the full decision
Join + legal professionals. Create a free account to access the complete text of this decision and search our entire database.