Home/Case Law/RICHARD AVILA vs. PAYLESS CASHWAYS, CONTINENTAL INSURANCE COMPANY
Regular DecisionReconsideration Decision

RICHARD AVILA vs. PAYLESS CASHWAYS, CONTINENTAL INSURANCE COMPANY

Filed: Dec 14, 2017
San Francisco
TI17381166

CompFox AI Summary

The Appeals Board affirmed the WCJ's April 3, 2017 order requiring defendants to continue providing applicant's current medications only through the date of the decision, based on a final October 1, 2015 order. Future medical treatment requests must now follow standard Utilization Review and Independent Medical Review processes. The Board rescinded the WCJ's orders regarding prepayment of applicant's travel and lodging expenses, finding no legal basis for them. The case is returned to the trial level for further proceedings to resolve outstanding issues, including the timeliness of the prior IMR determination.

Full Decision Text1 Pages

The Appeals Board affirmed the WCJ's April 3, 2017 order requiring defendants to continue providing applicant's current medications only through the date of the decision, based on a final October 1, 2015 order. Future medical treatment requests must now follow standard Utilization Review and Independent Medical Review processes. The Board rescinded the WCJ's orders regarding prepayment of applicant's travel and lodging expenses, finding no legal basis for them. The case is returned to the trial level for further proceedings to resolve outstanding issues, including the timeliness of the prior IMR determination.

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