CompFox AI Summary
This case involves a lien claimant seeking reconsideration of a Workers' Compensation Appeals Board (WCAB) decision that disallowed a significant portion of their bill for outpatient surgical services. The WCAB denied the petition, affirming the administrative law judge's finding that the lien claimant failed to meet its burden of proving the reasonableness of its charges. The Appeals Board found the lien claimant's billing itself was facially unreasonable and that the defendant's expert provided persuasive testimony supporting the paid amount. The decision reiterates that lien claimants bear the burden of proving the reasonableness of their fees, not the defendant.
Full Decision Text1 Pages
This case involves a lien claimant seeking reconsideration of a Workers' Compensation Appeals Board (WCAB) decision that disallowed a significant portion of their bill for outpatient surgical services. The WCAB denied the petition, affirming the administrative law judge's finding that the lien claimant failed to meet its burden of proving the reasonableness of its charges. The Appeals Board found the lien claimant's billing itself was facially unreasonable and that the defendant's expert provided persuasive testimony supporting the paid amount. The decision reiterates that lien claimants bear the burden of proving the reasonableness of their fees, not the defendant.
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