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Access over workers' compensation decisions, including En Banc, Significant Panel Decisions, and writ-denied cases.

Case No. ADJ8026817
Regular
Apr 22, 2013

MARIA OCHOA vs. RANGERS DIE CASTING COMPANY, COMPWEST INSURANCE COMPANY

The Workers' Compensation Appeals Board (WCAB) granted reconsideration of a decision finding the applicant sustained injury to her respiratory system and psyche AOE/COE. The WCAB rescinded the decision and returned the case to the trial level, finding the medical opinions of Dr. Lipper and Dr. Curtis lacked substantiality. Specifically, the physicians failed to provide clear diagnoses, quantify exposures, or adequately explain causation. The Board noted contradictory testimony from the applicant's supervisor and insufficient evidence to support the initial findings.

Workers' Compensation Appeals BoardMaria OchoaRangers Die Casting CompanyCOMPWEST INSURANCE COMPANYADJ8026817Los Angeles District OfficeOpinion and Order Granting ReconsiderationDecision After ReconsiderationFindings of FactWorkers' Compensation Administrative Law Judge (WCJ)
References
Case No. ADJ3133261 (VNO 0400017)
Regular
Aug 17, 2010

FELIPE TOLENTINO vs. CONCO CEMENT, CALIFORNIA INSURANCE GUARANTEE ASSOCIATION, XCHANGING INC., FREMONT COMPENSATION

The Workers' Compensation Appeals Board (WCAB) dismissed the lien claimant's petition for reconsideration as premature. The WCAB granted the defendant's petition for reconsideration regarding the temporary disability overpayment issue, deferring it for further proceedings. The Board affirmed the WCJ's findings on injury causation and permanent disability but amended the decision to clarify the overpayment issue. Finally, the WCAB issued a notice of intention to sanction defendant's counsel for attaching and citing unadmitted evidence.

Workers' Compensation Appeals BoardFELIPE TOLENTINOCONCO CEMENTCALIFORNIA INSURANCE GUARANTEE ASSOCIATIONXCHANGING INC.FREMONT COMPENSATIONliquidationADJ3133261VNO 0400017OPINION AND ORDERS DISMISSING PETITION FOR RECONSIDERATION AND GRANTING PETITION FOR RECONSIDERATION
References
Case No. ADJ3205611
Regular
Oct 03, 2011

Pedro Valencia vs. TSL, LTD, LIBERTY MUTUAL INSURANCE COMPANY

This case involves a lien claimant, Ventura County Medical Transportation, seeking reconsideration of their lien's dismissal. The lien was dismissed with prejudice by the WCJ for failing to object to a Notice of Intention to Dismiss Lien. The lien claimant argued their representative was attending another hearing and claimed a response was mailed but not received. The Appeals Board denied the petition, finding the WCJ correctly followed regulations by dismissing the lien after the claimant failed to appear at the lien trial and subsequently failed to respond to the notice of dismissal.

Workers' Compensation Appeals BoardPetition for ReconsiderationOrder Dismissing LienLien claimantNotice of Intention to Dismiss LienGood cause objectionLien trialAdministrative law judgeCompromise and releaseAffidavit of lien resolution
References
Case No. ADJ7189229
Regular
May 23, 2014

CLIQUN JIANG vs. NOGALES PHARMACY INC., STATE FARM INSURANCE

Lien claimants Khristine Eroshevich, M.D., and Ayako Nakano, D.C., petitioned for reconsideration after their liens were dismissed for failing to appear at a lien conference. The Workers' Compensation Appeals Board denied the petition, adopting the WCJ's report that found the lien claimants received notice and failed to establish excusable neglect. The Board emphasized that lien claimants are responsible for maintaining proper office procedures to track notices. The Board found no legal authority supporting a defendant's duty to contact absent lien claimants and noted the lien claimants' failure to object to the Notice of Intent to Dismiss.

Workers' Compensation Appeals BoardLien ClaimantsPetition for ReconsiderationDismissal of LiensLien ConferenceNotice of Intent to Dismiss LiensExcusable NeglectCivil Code of Procedure section 473(b)WCABAdministrative Law Judge
References
Case No. ADJ9235694
Regular
Jul 27, 2018

Stuart Yasutake vs. Epsilon Electronics, Liberty Mutual Insurance Company

The Workers' Compensation Appeals Board granted a lien claimant's petition for removal after an administrative law judge denied its request for medical reports. The lien claimant, Anthem Blue Cross, is a health plan that paid for the applicant's medical bills and has a lien to recover these costs. As a party to the case and a physician lien claimant, Anthem Blue Cross is entitled to service of relevant medical reports under WCAB Rule 10608. The Board found the claimant's request was not vague and ordered the defendant to serve all medical reports and information related to the applicant's claimed injury.

Petition for RemovalLien ClaimantCompel ServiceMedical ReportsWCJAdverse InferenceAppeals BoardPhysician Lien ClaimantCompromise and ReleaseBurden of Proof
References
Case No. ADJ7432605 ADJ7474502
Regular
Nov 10, 2016

JOSE HERNANDEZ vs. PRECOR INCORPORATED, AMER HOLDING COMPANY

Lien claimant Del Carmen Medical Center sought reconsideration of an order dismissing its lien for failing to appear at a lien conference. The Workers' Compensation Appeals Board (WCAB) denied the petition, upholding the dismissal. The WCAB adopted the WCJ's report, which found Del Carmen was properly served with notice of the conference. Furthermore, Del Carmen failed to establish good cause to rescind the notice of intention to dismiss. The petition was also denied for case ADJ7474502, as Del Carmen was not a recorded lien claimant in that matter.

Lien claimantPetition for ReconsiderationOrder Dismissing Lienworkers' compensation administrative judge (WCJ)Notice of Intention to Dismiss Lien (NIT)Objection to NITgood causerescind NITlien conferencefailure to appear
References
Case No. ADJ2178733 (BAK 0154115)
Regular
May 27, 2014

LIDIA BUENO vs. RAVILA FARM LABOR SERVICES, REDWOOD FIRE AND CASUALTY INSURANCE COMPANY

This case involves a lien claimant, Biocare RX Specialty Pharmacy, whose lien was dismissed by the Workers' Compensation Appeals Board (WCAB). Biocare argued the dismissal was erroneous because it had not yet filed a lien. The WCAB granted reconsideration, rescinding the dismissal order. The Board found it lacked jurisdiction to dismiss a lien that had not been filed and that Biocare was improperly dismissed for non-appearance at a lien conference for which it received no notice.

Lien claimantPetition for ReconsiderationOrder to Dismiss LiensWCJBiocare RX Specialty PharmacyElite Lien Servicesjurisdictionfiled lienLabor Code section 4903.5industrial injury
References
Case No. ADJ7224294; ADJ6597177
Regular
Dec 31, 2012

GIOVANNI MENDOZA vs. COBY ELECTRONICS CORP., CHUBB INSURANCE

The Workers' Compensation Appeals Board denied Dr. Nachman Brautbar's petition for reconsideration regarding the disallowance of his lien. The Board affirmed the finding that Dr. Brautbar failed to meet his evidentiary burden to prove the reasonableness and necessity of his services, and that he was not the applicant's treating physician. The Board clarified that lien claimants, like defendants, must prove their case by a preponderance of the evidence, and reliance on outdated case law like *Keifer* is misplaced due to legislative amendments. Furthermore, Dr. Brautbar's failure to appear at conferences and present evidence on raised issues, coupled with procedural errors in his petition, supported the denial.

Lien claimantPetition for ReconsiderationJoint Findings and OrdersWCJindustrial injurypsychelower extremityinternalherniacervical spine
References
Case No. ADJ6834877
Regular
Dec 22, 2014

EUSTELIO TELLEZ vs. BORDIERS NURSERY, BERKSHIRE HATHAWAY

The Workers' Compensation Appeals Board denied a petition for reconsideration filed by Liening Edge, Inc. on behalf of lien claimant Metrics Medical Group. The petition was denied on the merits due to Liening Edge and its "Director of Operations" lacking standing as they were not the official representative of record for Metrics Medical Group. Although the verification technically complied with Labor Code section 5902, the Board adopted the Workers' Compensation Judge's report, which detailed the lien claimant's failure to appear at scheduled hearings and their subsequent improper petition. Therefore, reconsideration was denied and the original decision imposing costs and sanctions was upheld.

Workers' Compensation Appeals BoardPetition for ReconsiderationLien ClaimantStandingRepresentative of RecordMetrics Medical GroupLiening EdgeMedical Lien ManagementLabor Code Section 5902Findings and Order
References
Case No. ADJ1150120 (ANA 0399296)
Regular
Sep 05, 2013

LORENA LEON vs. AO-CALIFORNIA STATE UNIVERSITY - FULLERTON AUXILIARY, SEDGWICK CLAIMS MANAGEMENT SERVICES

This case involves a lien claim by DNM Pharmacy that was denied by the Workers' Compensation Appeals Board (WCAB) for failure to provide supporting evidence. The WCAB granted reconsideration, finding that the defendant failed to serve crucial medical evidence on the lien claimant as ordered by the judge. Consequently, the WCAB deferred the lien claim and returned the matter for further proceedings, with a recommendation for sanctions against the defendant. A dissenting opinion argued that the lien claimant failed to meet its burden of proof by not submitting evidence or seeking a continuance.

Workers' Compensation Appeals BoardLien ClaimantPetition for ReconsiderationFindings and OrderAdministrative Law JudgeCompromise and ReleasePanel Qualified Medical EvaluatorPrimary Treating PhysicianLien TrialMinute Orders
References
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