CompFox AI Summary
The Workers' Compensation Appeals Board, in an en banc decision, holds that medical treatment disputes for unrepresented employees following a utilization review must be resolved by a panel Qualified Medical Examiner (QME). The reports from the QME, treating physician, and utilization review physician are all admissible. The prior award was rescinded and the case was remanded to follow this procedure.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board, in an en banc decision, holds that medical treatment disputes for unrepresented employees following a utilization review must be resolved by a panel Qualified Medical Examiner (QME). The reports from the QME, treating physician, and utilization review physician are all admissible. The prior award was rescinded and the case was remanded to follow this procedure.
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