CompFox AI Summary
The Workers' Compensation Appeals Board (WCAB) granted the lien claimant's petition for reconsideration, rescinding the original decision that disallowed the lien. The WCAB found that the medical record needed further development, specifically regarding whether the treatment provided by the lien claimant was reasonable and necessary, as this was not explicitly addressed by the Agreed Medical Evaluator (AME). The case was returned to the administrative law judge for further proceedings and a new decision. Commissioner Moresi dissented, arguing that the lien claimant failed to meet their burden of proof for the reasonableness and necessity of the treatment provided.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board (WCAB) granted the lien claimant's petition for reconsideration, rescinding the original decision that disallowed the lien. The WCAB found that the medical record needed further development, specifically regarding whether the treatment provided by the lien claimant was reasonable and necessary, as this was not explicitly addressed by the Agreed Medical Evaluator (AME). The case was returned to the administrative law judge for further proceedings and a new decision. Commissioner Moresi dissented, arguing that the lien claimant failed to meet their burden of proof for the reasonableness and necessity of the treatment provided.
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