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Case No. ADJ2440179
Regular
Dec 09, 2013

JOSE DUARTE vs. CAL ALMOND, TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA

This Workers' Compensation Appeals Board case involves a lien claimant, David Amaral, D.C., seeking reconsideration of an administrative law judge's (WCJ) order limiting payment for medical services. The WCJ found that Dr. Amaral provided reasonable and necessary services but only for six specific dates, excluding other claimed dates and certain computerized testing. The Board denied the petition for reconsideration, agreeing with the WCJ that Dr. Amaral failed to meet his burden of proof for the additional dates. Furthermore, issues of penalties and interest were deferred at trial and were not properly before the Board on reconsideration.

Workers' Compensation Appeals BoardLien ClaimantPetition for ReconsiderationFindings of Fact and OrderAdministrative Law JudgeReasonable and Necessary Medical ServicesUtilization ReviewBurden of ProofStipulated AwardOfficial Medical Fee Schedule
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