CompFox AI Summary
The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration of a prior award. The defendant failed to properly notify the applicant of their medical provider network rights, specifically neglecting to provide Spanish language notice. Furthermore, the defendant did not prove that the medical treatment provided by lien claimants was unreasonable or unnecessary. The Board found that the defendant's utilization review was invalid due to lack of proper service and communication.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration of a prior award. The defendant failed to properly notify the applicant of their medical provider network rights, specifically neglecting to provide Spanish language notice. Furthermore, the defendant did not prove that the medical treatment provided by lien claimants was unreasonable or unnecessary. The Board found that the defendant's utilization review was invalid due to lack of proper service and communication.
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