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

Case No. ADJ7673518, ADJ7647749
Regular
Jan 23, 2015

ANA DE AYALA vs. AO-THE UNIVERSITY CORPORATION / CALIFORNIA STATE UNIVERSITY NORTHRIDGE

The Workers' Compensation Appeals Board granted reconsideration and reversed a prior ruling, finding the applicant sustained industrial injury to her neck. While the applicant testified to injuring her neck in a workplace incident and this was partially corroborated, the Board found insufficient evidence for other claimed injuries. The Board specifically disagreed with the administrative law judge's credibility assessment concerning the neck injury itself, relying on medical reports and testimony supporting the neck injury claim. The Board affirmed the denial of claims for all other alleged injuries, finding insufficient medical evidence to link them to the incident.

Petition for ReconsiderationFindings and OrderIndustrial InjuryNeck InjuryBack InjurySpine InjuryUpper ExtremitiesPsycheGastroesophageal SystemInternal System
References
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 The WCAB rescinded the decision and returned the case to the trial level, finding the medical opinions of Dr.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. ADJ15495483; ADJ15494417
Regular
Sep 30, 2025

GLADYS SERRANO vs. LOS ANGELES UNIFIED SCHOOL DISTRICT, SEDGWICK CLAIMS MANAGEMENT SERVICES, INC.

The cost petitioner, Platinum Copy, sought reconsideration of a WCJ's 'Joint Findings, Order, and Opinion on Decision' that denied their petitions for medical-legal costs and sanctions. The WCJ had granted defendant's motion to quash subpoenas and found Platinum Copy failed to prove their entitlement to recover costs due to unreasonableness and lack of necessity of the services. The Appeals Board affirmed the WCJ's decision, concluding that Platinum Copy failed to establish the reasonableness and necessity of the incurred services, including improper service of subpoenas, thus denying the Petition for Reconsideration.

WCABPlatinum CopyPetition for ReconsiderationMotion to QuashMedical Legal CostsSubpoenasContested ClaimLabor Code Section 5909Colamonico v. Secure TransportationAD Rule 9982
References
Case No. ADJ8071753
Regular
Dec 21, 2012

RAFAEL CASTRO vs. VALLEY CREST COMPANIES, ACE AMERICAN INSURANCE COMPANY

The Appeals Board granted the defendant's petition for removal, quashing the applicant's subpoena duces tecum. The Board found the subpoena's request for "any and all logs" to be vague, ambiguous, and unintelligible. Consequently, the employer cannot be compelled to produce documents under such an unclear demand. The applicant must issue a more specific subpoena if he wishes to obtain particular documents.

Petition for RemovalPetition to Quash SubpoenaSubpoena Duces TecumWCJWorkers' Compensation Appeals BoardLandskaperIndustrial InjuryVague SubpoenaAmbiguous SubpoenaIntelligent Response
References
Case No. ADJ9116549
Regular
Mar 13, 2020

EMMA MEDINA vs. SUNRISE RESTAURANT, LLC, DENNY'S RESTAURANT, CANNON COCHRAN MANAGEMENT SERVICES, CHUBB INSURANCE

This Workers' Compensation Appeals Board case concerns the reimbursement for lien claimant Preferred Scan's copy services. The Board granted reconsideration to clarify what constitutes medical-legal expenses and the reasonable value of copy services. The Appeals Board rescinded the original award and returned the matter for further proceedings, finding that certain copy services for medical records were properly considered medical-legal expenses. However, the reasoning for doubling the copy service fee schedule was insufficient and requires further development at the trial level.

Workers' Compensation Appeals BoardReconsiderationLien ClaimantCopy ServicesMedical-Legal ServicesCopy Service Fee ScheduleLabor CodeSubpoena Duces TecumExplanation of ReviewCompromise and Release
References
Case No. ADJ9128634
Regular
Apr 22, 2016

PATRICIA DECUIR vs. COLLEGE HOSPITAL; ZURICH NORTH AMERICAN, administered by PATRIOT RISK SERVICES

In this workers' compensation case, the lien claimant, Med-legal Photocopy, sought reconsideration after its lien for $1,708.69 was denied. The Workers' Compensation Appeals Board denied the petition, upholding the finding that the lien claimant failed to prove its services were reasonable and necessary to resolve a contested claim. The Board noted the lien claimant provided no evidence detailing the records obtained or their use in litigation. Furthermore, the lien claimant did not adequately justify its per-page scanning charges, which significantly exceeded the rates outlined in the copy service fee schedule.

Lien claimantPetition for ReconsiderationFindings and OrderWorkers' Compensation Appeals BoardWCJunreasonable and unnecessary servicescontested claimlien claimant burden of proofcopy service fee schedulepenalties and interest
References
Case No. ADJ1784264 (MON 0302991) ADJ2898466 (MON 0339769)
Regular
Oct 14, 2011

GIRGIS FAM vs. UCLA MEDICAL CENTER, permissibly self-insured, Administered by Sedgwick Claims Management Services

This case concerns the selection of a child care provider for a permanently and totally disabled applicant. The Workers' Compensation Appeals Board (WCAB) granted the applicant's petition for reconsideration. The WCAB reversed the judge's decision, allowing the applicant to select his own child care provider, reasoning that this service is personal, similar to selecting a physician. The Board emphasized that the continuity of care and applicant's confidence in the provider outweigh the employer's desire to use a licensed and bonded provider selected by them.

Workers' Compensation Appeals BoardPetition for ReconsiderationSupplemental Findings and AwardPermanently totally disabledCaretaking servicesChild care servicesGardening servicesPool maintenance servicesStructural modificationsCauda-equina syndrome
References
Case No. ADJ1448142 (AHM 0143606)
Regular
Jan 27, 2016

SONIA LEON vs. VEG FRESH FARMS, CYPRESS INSURANCE COMPANY

The Appeals Board granted reconsideration, rescinded the trial judge's decision disallowing the lien, and found that the lien claimant has legal status and is not subject to Business and Professions Code registration requirements. The Board clarified that obtaining records via subpoena is a reasonable attorney practice and not a basis to deny lien claims for copying services. The case was remanded to the trial level for further proceedings to determine the reasonable value of the services provided. The request to disqualify the trial judge was denied.

Medical-legal expensesLien claimReconsiderationFindings and OrderWCJApplicant's attorneySubpoenaPrima facie showingIndependent contractorBusiness and Professions Code
References
Case No. ADJ8475421
Regular
Mar 30, 2017

Jessica Duncan vs. Right At Home, Travelers Diamond Bar

The Workers' Compensation Appeals Board denied reconsideration of a lien claimant's claim for medical services. The Board found that the lien, filed on June 4, 2016, was barred by the 18-month statute of limitations under Labor Code section 4903.5(a). This was because the last date of service was August 8, 2013, which fell after the July 1, 2013, implementation date of the 18-month rule. The Board also held that it lacked the authority to rule on constitutional vagueness claims.

Labor Code section 4903.5(a)Lien claimStatute of limitationsReconsiderationWorkers' Compensation Appeals BoardWCJTimelinessDate of servicesContinuous treatmentUnconstitutionally vague
References
Case No. ADJ9244317
Regular
May 01, 2017

RAMON FRANCO vs. VERIZON/FRONTIER COMMUNICATIONS, NATIONAL UNION FIRE INSURANCE

The Workers' Compensation Appeals Board (WCAB) granted reconsideration and rescinded a prior decision disallowing a lien claim for imaging services. The WCAB found that the trial judge erred by prematurely determining the services were not reasonable or necessary without first fully addressing whether a "contested claim" existed when services were rendered. The Board remanded the case for further proceedings to determine if the claim was contested and if proper objection procedures were followed by the defendant. The WCAB also clarified that the fee schedule for copying services does not apply to services rendered before July 1, 2015.

Contested claimMedical-legal expenseLien claimantPetition for reconsiderationFindings and OrderLabor Code section 4620Labor Code section 4622Reasonableness of servicesNecessity of servicesObjection timeliness
References
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