CompFox AI Summary
Defendant sought removal of a WCJ's order finding their utilization review denial of applicant's medical treatment request untimely. The WCJ determined the denial was late due to the 72-hour window for expedited requests, as the applicant's physician requested "urgent surgery." The Appeals Board denied the petition for removal, finding the defendant failed to show irreparable harm and that reconsideration would be an inadequate remedy. The Board upheld the WCJ's finding of untimely UR, allowing the Board to determine medical necessity.
Full Decision Text1 Pages
Defendant sought removal of a WCJ's order finding their utilization review denial of applicant's medical treatment request untimely. The WCJ determined the denial was late due to the 72-hour window for expedited requests, as the applicant's physician requested "urgent surgery." The Appeals Board denied the petition for removal, finding the defendant failed to show irreparable harm and that reconsideration would be an inadequate remedy. The Board upheld the WCJ's finding of untimely UR, allowing the Board to determine medical necessity.
Read the full decision
Join + legal professionals. Create a free account to access the complete text of this decision and search our entire database.