Home/Case Law/TASHAY LENZY vs. RALPHS GROCERY COMPANY, SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.
Regular DecisionReconsideration

TASHAY LENZY vs. RALPHS GROCERY COMPANY, SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.

Filed: Oct 02, 2018
Marina Del Rey
ADJ10616906

CompFox AI Summary

This case involves a dispute over temporary total disability benefits and the applicant's primary treating physician. The defendant sought reconsideration of the award finding the applicant temporarily totally disabled and entitled to treatment by Dr. Schmidt, who was not in their Medical Provider Network (MPN). The Board affirmed the temporary disability finding, finding the defendant's MMI argument lacked substantial evidence. However, the Board deferred the issue of treatment outside the MPN, remanding it for further proceedings to determine continuity of care rights under Labor Code section 4616.2 and related regulations.

Full Decision Text1 Pages

This case involves a dispute over temporary total disability benefits and the applicant's primary treating physician. The defendant sought reconsideration of the award finding the applicant temporarily totally disabled and entitled to treatment by Dr. Schmidt, who was not in their Medical Provider Network (MPN). The Board affirmed the temporary disability finding, finding the defendant's MMI argument lacked substantial evidence. However, the Board deferred the issue of treatment outside the MPN, remanding it for further proceedings to determine continuity of care rights under Labor Code section 4616.2 and related regulations.

Read the full decision

Join + legal professionals. Create a free account to access the complete text of this decision and search our entire database.

Ready to streamline your practice?

Apply these legal strategies instantly. CompFox helps you find decisions, analyze reports, and draft pleadings in minutes.