CompFox AI Summary
This case concerns a defendant's appeal of a workers' compensation administrative law judge's order to pay a medical lien claimant. The defendant argued the judge erred by not relying on a later Independent Medical Review (IMR) that denied the medical necessity of some services, and by failing to issue explicit findings of fact. The Appeals Board affirmed the judge's order, finding the earlier IMR that authorized the services was controlling and that the judge's findings were implicitly stated in the order, prioritizing substance over form.
Full Decision Text1 Pages
This case concerns a defendant's appeal of a workers' compensation administrative law judge's order to pay a medical lien claimant. The defendant argued the judge erred by not relying on a later Independent Medical Review (IMR) that denied the medical necessity of some services, and by failing to issue explicit findings of fact. The Appeals Board affirmed the judge's order, finding the earlier IMR that authorized the services was controlling and that the judge's findings were implicitly stated in the order, prioritizing substance over form.
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