Home/Case Law/RAUL MARTINEZ vs. J.P. ALLEN COMPANY, CYPRESS INSURANCE COMPANY
Regular DecisionWorkers' Compensation

RAUL MARTINEZ vs. J.P. ALLEN COMPANY, CYPRESS INSURANCE COMPANY

Filed: Jul 26, 2016
Santa Ana
ADJ7104543

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The Workers' Compensation Appeals Board granted reconsideration and rescinded the ALJ's findings, returning the case for further proceedings. The Board found the ALJ failed to issue sufficient findings of fact, awards, or orders as required by law and did not clearly delineate the basis of her decision. Specifically, the ALJ did not identify evidence or explain how it established that Advanced Orthopedics was within the defendant's Medical Provider Network (MPN). The Board concluded that the record lacked clarity and required further development to address the defendant's MPN dispute with the lien claimant.

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Here's a summary of the case in four sentences for a lawyer:

The Workers' Compensation Appeals Board granted reconsideration and rescinded the ALJ's findings, returning the case for further proceedings. The Board found the ALJ failed to issue sufficient findings of fact, awards, or orders as required by law and did not clearly delineate the basis of her decision. Specifically, the ALJ did not identify evidence or explain how it established that Advanced Orthopedics was within the defendant's Medical Provider Network (MPN). The Board concluded that the record lacked clarity and required further development to address the defendant's MPN dispute with the lien claimant.

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RAUL MARTINEZ vs. J.P. ALLEN COMPANY, CYPRESS INSURANCE COMPANY (2016) – Santa Ana | CompFox