CompFox Logo
AboutWorkflowFeaturesPricingCase LawInsights

Updated Daily

Case Law Database

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

Case No. ADJ2857080 (LBO 0314435)
Regular
Apr 08, 2014

Susan North vs. Staff Pay Agency, Sedgwick, California Insurance Guarantee Association

This case involves a lien claimant, Rehab Solutions, whose claim for $5,046.50 was disallowed due to failure to prove the reasonableness of charges. The Workers' Compensation Appeals Board (WCAB) granted reconsideration but ultimately affirmed the decision that Rehab Solutions would take nothing on its lien claim. The WCAB agreed with the finding that Rehab Solutions and its representative engaged in frivolous conduct by insisting on trial without probative evidence. Sanctions were considered, with Rehab Solutions and its representative potentially liable for $2,500, but the findings regarding sanctions were ordered to be placed within the Notice of Intention to Impose Sanctions rather than the main Findings of Fact.

Lien claimantRehab SolutionsPetition for ReconsiderationFindings and OrdersEvidentiary RulingNotice of Intention to Impose Sanctionsindustrial injurylow backlower extremityleft side of body
References
Case No. ADJ6912900
Regular
Jul 06, 2012

SARA FLORES vs. SPECTRUM HOTEL (dba HAMPTON INN), TOWER INSURANCE/BENCHMARK INSURANCE

The Workers' Compensation Appeals Board granted reconsideration to the lien claimant, Rehab Solutions, and rescinded the Administrative Law Judge's (ALJ) sanctions. The Board found that the ALJ's notice of intent to sanction did not provide adequate specificity regarding sanctionable conduct, violating due process rights. The case is returned to the ALJ to address sanctions appropriately, with a single, detailed notice and opportunity to respond for Rehab Solutions. The ALJ's disallowance of Rehab Solutions' lien for medical equipment remains undisturbed.

Rehab SolutionsLien ClaimantSanctionsPetition for ReconsiderationDue ProcessWCJWorkers' Compensation Appeals BoardCompromise and ReleaseThomas FindingDurable Medical Equipment
References
Case No. ADJ8909369
Regular
May 30, 2018

MICHAEL PINEDA vs. COVENANT TRANSPORT, GALLAGHER BASSETT

The Workers' Compensation Appeals Board denied Rehab Solutions' petition for reconsideration regarding a disallowed lien for durable medical equipment. The Board affirmed the WCJ's finding that Rehab Solutions failed to prove the equipment was medically reasonable and necessary, as required by Labor Code § 4600. The lien claimant's arguments about the defendant's procedural non-compliance were unavailing because the primary failure was the lack of evidence supporting the medical necessity of the treatment itself. Consequently, the lien was properly disallowed, and the petition for reconsideration was denied.

Workers' Compensation Appeals BoardRehab Solutionslien claimantdurable medical equipmentmedically reasonable and necessaryLabor Code § 4603.2(b)official medical fee schedulepenaltyMinute OrderStipulation with Request for Award
References
Case No. ADJ169636 (ANA 0384077)
Regular
Nov 01, 2013

SIGRID GOSSERAND vs. KAISER PERMANENTE, KAISER WORKERS COMPENSATION

The Workers' Compensation Appeals Board granted reconsideration, rescinded an order dismissing a lien claim for failure to pay an activation fee, and returned the matter for further proceedings. The dismissed lien claimant, Rehab Solutions, argued their lien should not be dismissed because a lien filing fee was paid in 2005 under a former Labor Code section. The Board found evidence suggesting this prior fee payment and noted that a lien activation fee was not required at that time. The trial judge will now determine if Rehab Solutions paid the prior filing fee on behalf of the official lien claimant, North American Distributors.

Workers' Compensation Appeals BoardLien ClaimActivation FeeFiling FeeLabor Code section 4903.06Labor Code section 4903.05Petition for ReconsiderationWCJRehab SolutionsNorth American Distributors
References
Case No. ADJ1761179 (LBO 0351115), ADJ3800791, ADJ2478410
Regular
Mar 21, 2013

MARIA MELENDEZ vs. KELERMEYER BUILDING SERVICES, INC.; REHAB SOLUTIONS aka NORTH AMERICAN DISTRIBUTORS

This case involves a lien claimant, Rehab Solutions, whose lien was dismissed by the Workers' Compensation Appeals Board (WCAB) due to non-appearance at a lien conference and failure to respond to a Notice of Intention to Dismiss. Rehab Solutions petitioned for reconsideration, arguing they received neither notice nor an opportunity to be heard. The WCJ's report, adopted by the WCAB, found that Rehab Solutions was properly noticed for the lien conference and later received a Notice of Intention to Dismiss, but failed to appear or respond for approximately 90 days. Consequently, the WCAB denied the Petition for Reconsideration, though they admonished the lien claimant that further frivolous filings would result in sanctions.

Workers' Compensation Appeals BoardPetition for ReconsiderationWCJLien ClaimantOrder Dismissing LienDeclaration of Readiness to ProceedLien ConferenceNotice of HearingNotice of Intention to Dismiss LienProof of Service
References
Case No. ADJ726748 (AHM 0090482) ADJ8296550
Regular
May 13, 2013

JOYCE HECTOR vs. JVC OF AMERICA, LIBERTY MUTUAL

The Workers' Compensation Appeals Board (WCAB) granted reconsideration of a prior decision concerning Joyce Hector's case. This action was taken because the lien claimant, Rehab Solutions, filed a petition for reconsideration. The WCAB requires more time to thoroughly review the factual and legal issues to ensure a just and reasoned decision. All future filings related to this case must now be submitted in writing directly to the Office of the Commissioners of the WCAB and cannot be e-filed.

Rehab SolutionsLien ClaimantReconsiderationPetition for ReconsiderationWorkers' Compensation Appeals BoardStatutory Time ConstraintsFactual IssuesLegal IssuesJust and Reasoned DecisionFurther Proceedings
References
Case No. ADJ7940254
Regular
May 02, 2014

GABRIELA CEBALLOS vs. WEST COAST VALET SERVICES, ARGONAUT INSURANCE COMPANY

This case concerns a lien claimant, Rehab Solutions, seeking reconsideration of a decision disallowing its claim for durable medical goods. The Workers' Compensation Appeals Board (WCAB) denied the petition, affirming the administrative law judge's (WCJ) findings. The WCJ disallowed the lien due to procedural defects, including improper use of authorization requests, and a lack of substantial medical evidence demonstrating benefit to the injured worker. The WCAB adopted the WCJ's report, noting factual misrepresentations and procedural errors by the lien claimant, and denied the petition for reconsideration.

Rehab SolutionsLien ClaimantPetition for ReconsiderationCompromise and ReleaseProcedural DefectsSubstantial Medical EvidenceDurable Medical GoodsRequest for AuthorizationInterferential UnitUtilization Review
References
Case No. ADJ6775950
Regular
Jun 22, 2017

MARTIN MENDOZA vs. W&M TEXTILE, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board granted a petition for reconsideration filed by lien claimant Physician Funding Solutions, LLC. The Board rescinded the prior order dismissing the lien of Physician Funding Rancho Cucamonga and Rx Funding Solutions Rancho Cucamonga. The WCJ's report, which was adopted by the Board, provided the reasoning for this decision. This order reinstates the dismissed liens.

Physician Funding SolutionsLLCRx Funding SolutionsLLCPetition for ReconsiderationOrder Dismissing LienWorkers' Compensation Appeals BoardWCJ ReportGrant ReconsiderationRescind Order
References
Case No. ADJ10954204
Regular
Sep 15, 2022

MARIA FLORES vs. PINNACLE HEALTH CORP., SUMMARY OF EVIDENCE INSURANCE COMPANY OF THE WEST, AFFINITY HOME HEALTH CARE SERVICES, FALLS LAKE FIRE & CASUALTY INSURANCE, SEDGWICK CMS, HOME HEALTH CARE SOLUTIONS, INC.

The Workers' Compensation Appeals Board denied a petition for reconsideration filed by Home Health Care Solutions. The applicant, an LVN, was injured in a car accident while traveling between patients for multiple agencies. The Board adopted the WCJ's report, which found the injury arose out of and occurred in the course of employment for Home Health Care Solutions. This decision was based on the fact that the applicant was required to use her own vehicle, which extended the employer-employee relationship beyond direct service. The WCJ also found the going and coming rule did not bar the claim due to the required use of transportation between patient locations.

Workers' Compensation Appeals BoardPetition for ReconsiderationGoing and Coming RuleAOE/COELVNCar AccidentAutomobile ExceptionTransitEmployment RelationshipRequired Vehicle Use
References
Case No. ADJ7628583
Regular
Nov 04, 2013

ARMANDO LOPEZ vs. WM BOLTHOUSE FARMS, SEDGWICK CMS

The Appeals Board denied Rehab Solutions' Petition for Reconsideration, affirming the dismissal of its lien. Although the Board found the Petition timely, it determined Rehab Solutions was properly served notice of the lien conference. Consequently, the lien was dismissed with prejudice for failure to pay the activation fee as required by Labor Code section 4903.06(a)(4). The matter returns to the trial level for a scheduled November 6, 2013 lien conference concerning Rehab Solutions' new lien.

Workers' Compensation Appeals BoardLien ClaimantPetition for ReconsiderationLien Activation FeeLabor Code section 4903.06Lien ConferenceDismissal with PrejudiceProof of ServiceOfficial Address RecordCase Participant
References
Showing 1-10 of 229 results

Ready to streamline your practice?

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

CompFox Logo

The AI standard for workers' compensation professionals. Faster research, deeper analysis, better outcomes.

Product

  • Platform
  • Workflow
  • Features
  • Pricing

Solutions

  • Defense Firms
  • Applicants' Attorneys
  • Insurance carriers
  • Medical Providers

Company

  • About
  • Insights
  • Case Law

Legal

  • Privacy
  • Terms
  • Trust
  • Cookies
  • Subscription

© 2026 CompFox Inc. All rights reserved.

Systems Operational