CompFox AI Summary
The Workers' Compensation Appeals Board denied PharmaFinance, LLC's petition for reconsideration of the denial of its $$ 5,512.80$ lien. The Board affirmed the administrative law judge's finding that PharmaFinance failed to meet its burden of proof to establish the reasonableness and necessity of the compound treatment it provided. Despite the employer's potential failure in utilization review, the lien claimant was still required to substantiate the medical treatment's validity with substantial evidence. As no such evidence was presented, the lien was disallowed in its entirety.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board denied PharmaFinance, LLC's petition for reconsideration of the denial of its $$ 5,512.80$ lien. The Board affirmed the administrative law judge's finding that PharmaFinance failed to meet its burden of proof to establish the reasonableness and necessity of the compound treatment it provided. Despite the employer's potential failure in utilization review, the lien claimant was still required to substantiate the medical treatment's validity with substantial evidence. As no such evidence was presented, the lien was disallowed in its entirety.
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