CompFox AI Summary
This case involves a dispute over the reimbursement of medical liens following a workers' compensation settlement. The employer successfully argued that they did not waive their right to contest the lien of Advanced Care Specialist (ACS) despite language in the settlement agreement. The Workers' Compensation Appeals Board found that the employer had a valid Medical Provider Network (MPN) and that ACS provided treatment outside this network. Therefore, ACS's lien was disallowed in full, reversing the original administrative law judge's decision that had awarded ACS partial reimbursement.
Full Decision Text1 Pages
This case involves a dispute over the reimbursement of medical liens following a workers' compensation settlement. The employer successfully argued that they did not waive their right to contest the lien of Advanced Care Specialist (ACS) despite language in the settlement agreement. The Workers' Compensation Appeals Board found that the employer had a valid Medical Provider Network (MPN) and that ACS provided treatment outside this network. Therefore, ACS's lien was disallowed in full, reversing the original administrative law judge's decision that had awarded ACS partial reimbursement.
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