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. ADJ9048259
Regular
Dec 30, 2015

Antonio Avila vs. Barrett Business Services, Inc., Corvel Insurance Company

Here's a summary of the case in four sentences for a lawyer: The Workers' Compensation Appeals Board denied reconsideration, upholding the judge's decision that the applicant must treat within the employer's Medical Provider Network (MPN). The Board found that while there were some informational deficiencies, they did not amount to a denial of medical treatment that would justify treating outside the MPN. Crucially, the applicant admitted he liked his MPN physician and only sought to change doctors based on his attorney's recommendation. Evidence showed the employer promptly provided medical treatment and confirmed the applicant's treating physician was within their MPN.

Workers' Compensation Appeals BoardPetition for ReconsiderationMPNMedical Provider NetworkWCJHealth First Medical GroupDr. Eliasattorney's recommendationBBSI MPNCorvel Insurance Company
References
1
Case No. 533089
Regular Panel Decision
Oct 07, 2021

Matter of Barden v. General Physicians PC

Claimant, a patient services representative, sought to amend her workers' compensation claim to include left shoulder aggravation after a work-related injury to her right shoulder. The Workers' Compensation Board disallowed this request, finding that claimant failed to provide sufficient credible medical evidence to establish a causal relationship between her employment and the left shoulder condition. The Appellate Division, Third Department, affirmed the Board's decision. The court noted that the claimant's treating physician opined the left shoulder pathology was largely preexisting and unrelated to the work injury, and other medical opinions either lacked sufficient weight or were based on inaccurate information, providing no basis to disturb the Board's finding.

Workers' CompensationShoulder InjuryCausationMedical EvidencePreexisting ConditionAppellate ReviewBoard DecisionClaim AmendmentPatient Services Representative
References
10
Case No. MON 094741 MON 124794
Regular
Mar 25, 2008

ANA SAMI vs. HUGHES AIRCRAFT, HARTFORD ACCIDENT as administered by SPECIALTY RISK SERVICES

The Workers' Compensation Appeals Board granted the applicant's petition for reconsideration, affirming the prior decision that denied the defendant's petition to change the primary treating physician. While the Board amended the order to correct a clerical error as recommended by the WCJ, it did not specifically rule on the applicant's arguments for attorney fees and subpoena costs, referencing the WCJ's report. The Board's decision ultimately upholds the denial of the defendant's request to change physicians.

Petition for ReconsiderationJoint Findings of FactPrimary Treating PhysicianAdministrative DirectorWCJLabor Code section 5814.5Labor Code section 4607attorney feessubpoena costsHIPPA violation
References
0
Case No. ADJ9762825
Regular
Feb 29, 2016

MARIA OLGA BARAJAS vs. BARRETT BUSINESS SERVICES, CORVEL

This case involves Maria Olga Barajas's workers' compensation claim against Barrett Business Services and Corvel. The applicant was injured on July 20, 2014, and her attempts to change her treating physician within the employer's Medical Provider Network (MPN) were unsuccessful. The Workers' Compensation Appeals Board denied the defendants' Petition for Reconsideration, upholding the original award. This award allowed the applicant to seek treatment outside the MPN at the defendants' expense due to the failure to facilitate a timely change of physician.

Medical Provider NetworkMPNPetition for ReconsiderationFindings and Awardremovalchange of treating physicianinterim orderLabor Code § 4616.3(b)Title 8Regulations
References
2
Case No. ADJ7938670
Regular
Jun 20, 2012

ROSALINDA MAGANA vs. FIRST ALARM, INC., LIBERTY MUTUAL INSURANCE COMPANY

This case concerns an employer and insurer's unsuccessful petition for reconsideration to prevent an injured worker from changing her primary treating physician. The applicant injured her back and, after postponing recommended surgery, sought to switch to a pain management specialist within the employer's medical network. The Workers' Compensation Appeals Board denied reconsideration, adopting the judge's report which found the applicant could change physicians as the requested specialist's treatment was consistent with the original orthopedic surgeon's recommendations. The Board also admonished the defendants for delaying medical treatment.

Workers' Compensation Appeals BoardPetition for ReconsiderationDeniedMedical treatmentPrimary treating physicianMedical Provider Network (MPN)Orthopedic surgeonChronic pain managementLabor CodeFindings Award and Orders
References
0
Case No. ADJ8890109 ADJ8890125
Regular
Jan 09, 2017

ELIZABETH BURGOS vs. IMAGEFIRST HEALTHCARE LAUNDRY SPECIALIST; TRAVELERS

The applicant sought removal from a Workers' Compensation Appeals Board decision finding no denial of care. The applicant argued a 43-day delay in authorizing a change to a new treating physician within the defendant's MPN constituted denial of care. The Board denied removal, finding the applicant did not prove denial of care, as there was no evidence of inability to obtain treatment or refusal by the defendant. Furthermore, the applicant's requested change of physician occurred after the initial 30-day window, thus not falling under Labor Code section 4601(a).

Workers' Compensation Appeals BoardPetition for RemovalJoint Findings and AwardStipulations with Request for AwardPrimary Treating Physician (PTP)Medical Provider Network (MPN)Denial of CareLabor Code section 4601(a)Labor Code section 4600Cal. Code Regs.
References
10
Case No. ADJ9798663
Regular
Sep 02, 2015

ALEJANDRO SAUCEDO SAHAGUN vs. TXC LOUTER'S DAIRY, ZENITH INSURANCE COMPANY

The Workers' Compensation Appeals Board granted the applicant's petition for reconsideration, rescinding the previous award. The applicant sought to change treating physicians outside the defendant's Medical Provider Network (MPN), arguing the MPN failed to meet access standards for primary treating physicians within 15 miles or 30 minutes of his home or work. The Board found the trial judge applied an incorrect, less stringent access standard, and remanded the case for application of the proper standard. The applicant's injury and initial treatment within the MPN were admitted.

Workers' Compensation Appeals BoardMedical Provider NetworkMPN access standardsAdministrative Director's Rule 9767.5rural areasprimary treating physicianorthopedic physiciansoccupational health servicesLab. Code § 4600Lab. Code § 4616
References
5
Case No. 2022 NY Slip Op 07102
Regular Panel Decision
Dec 15, 2022

Matter of Kingston v. New York City Fire Dept.

In this workers' compensation case, claimant Donnay Kingston appealed two decisions of the Workers' Compensation Board. Kingston had established a claim in 2008 for bilateral carpal tunnel syndrome, later amended for DeQuervain's tenosynovitis, and received a schedule loss of use (SLU) award in 2014, affirmed in 2016. In 2019, her treating physician sought to reopen the claim, alleging a material change in her medical condition. Both a Workers' Compensation Law Judge and the Board denied the request, finding no sufficient change to warrant reopening or rescinding the SLU award, despite the physician noting a worsening of symptoms that was deemed anticipated. The Appellate Division, Third Department, affirmed both decisions, concluding that the Board did not abuse its discretion in denying the reopening and found claimant's remaining contentions without merit.

Workers' Compensation ClaimBilateral Carpal Tunnel SyndromeDeQuervain's TenosynovitisSchedule Loss of UseClaim Reopening DenialMedical Condition ChangeAppellate Division Third DepartmentBoard DiscretionTreating Physician TestimonyWrist Pain
References
6
Case No. ADJ7760130
Regular
Nov 22, 2011

MARILOU YOUNG vs. DEPARTMENT OF FORESTRY, STATE COMPENSATION INSURANCE FUND

The Workers' Compensation Appeals Board granted the applicant's Petition for Removal to overturn the denial of a change of venue. The WCAB found good cause to change venue from San Luis Obispo to Salinas, where the employer, treating physicians, and applicant's attorney are located. The applicant's initial venue designation in her county of residence appeared to be a clerical error, especially since the defendant stipulated to the change. Therefore, venue was officially changed to the Salinas district office.

Petition for RemovalChange of VenueLabor Code section 5501.6(a)StipulationIndustrial InjuryBreast CancerFirefighterApplication for Adjudication of ClaimVenue ShoppingJudge Shopping
References
0
Case No. MISSING
Regular Panel Decision

Claim of Ceselka v. Kingsborough Community College

Claimant, a custodian, sustained a lower back injury in September 1996 while at work, leading to temporary total disability benefits until September 1997. A Workers’ Compensation Law Judge (WCLJ) determined no causally related permanent disability existed after September 5, 1997, a finding affirmed by the Workers’ Compensation Board. The claimant appealed this decision. The Appellate Division affirmed the Board’s ruling, stating that the resolution of conflicting medical testimony—between the employer's physician, who attributed the herniated disc to degenerative changes, and the claimant's treating physician—is within the Board's authority. The court also dismissed the claimant's argument that her attorney being denied access to the employer's physician's notes warranted reversal, noting that ample opportunity for cross-examination was provided, and the physician's report sufficiently addressed the claimant’s complaints and job duties. Objective medical tests did not support a permanent disability claim.

Workers' Compensation Lawpermanent disabilitycausally related injurymedical evidenceconflicting medical testimonylumbar spine injuryherniated discsubjective complaintsobjective medical testsevidentiary rulings
References
6
Showing 1-10 of 3,056 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