Home/Case Law/OMAR HANSEN vs. GULFSTREAM AEROSPACE/GENERAL DYNAMICS, INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA
Regular DecisionReconsideration

OMAR HANSEN vs. GULFSTREAM AEROSPACE/GENERAL DYNAMICS, INSURANCE COMPANY OF THE STATE OF PENNSYLVANIA

Filed: Sep 20, 2019
Long Beach
ADJ10792054

CompFox AI Summary

The Workers' Compensation Appeals Board granted reconsideration and rescinded a prior decision that ordered payment to a lien claimant for treatment outside the employer's Medical Provider Network (MPN). The defendant argued the treating physician improperly referred the applicant outside the MPN. The Board found that while the defendant timely objected, they failed to obtain a final determination on the MPN issue through an expedited hearing before settling the case with the applicant. Therefore, the Board returned the matter for further proceedings to allow for consideration of the defendant's evidence.

Full Decision Text1 Pages

The Workers' Compensation Appeals Board granted reconsideration and rescinded a prior decision that ordered payment to a lien claimant for treatment outside the employer's Medical Provider Network (MPN). The defendant argued the treating physician improperly referred the applicant outside the MPN. The Board found that while the defendant timely objected, they failed to obtain a final determination on the MPN issue through an expedited hearing before settling the case with the applicant. Therefore, the Board returned the matter for further proceedings to allow for consideration of the defendant's evidence.

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