CompFox AI Summary
This case involves an applicant who sustained a work injury and disputes the defendant's compliance with medical provider network (MPN) requirements. The Appeals Board rescinded the WCJ's order that the defendant properly managed the MPN and did not owe for self-procured treatment. The Board returned the case to the trial level to address whether the defendant's MPN was properly established and approved by the DWC, and to address an issue regarding AD Rule 9767.12, which the WCJ had not decided. The applicant's argument about posting notices was waived as it was not raised at the mandatory settlement conference or trial.
Full Decision Text1 Pages
This case involves an applicant who sustained a work injury and disputes the defendant's compliance with medical provider network (MPN) requirements. The Appeals Board rescinded the WCJ's order that the defendant properly managed the MPN and did not owe for self-procured treatment. The Board returned the case to the trial level to address whether the defendant's MPN was properly established and approved by the DWC, and to address an issue regarding AD Rule 9767.12, which the WCJ had not decided. The applicant's argument about posting notices was waived as it was not raised at the mandatory settlement conference or trial.
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