CompFox AI Summary
This case concerns a worker who sustained a fall and claimed injury to his head, brain, back, and knee. The defendant failed to deny the claim within 90 days, triggering a presumption of compensability. While the defendant presented medical evidence suggesting the applicant's seizure was non-industrial, the Appeals Board found insufficient evidence to rebut the presumption for all claimed injuries. Consequently, the Board amended the findings to include head injury as presumed industrial, affirmed the back and knee injuries, and ordered further development on the wrist injury claim, while denying removal.
Full Decision Text1 Pages
This case concerns a worker who sustained a fall and claimed injury to his head, brain, back, and knee. The defendant failed to deny the claim within 90 days, triggering a presumption of compensability. While the defendant presented medical evidence suggesting the applicant's seizure was non-industrial, the Appeals Board found insufficient evidence to rebut the presumption for all claimed injuries. Consequently, the Board amended the findings to include head injury as presumed industrial, affirmed the back and knee injuries, and ordered further development on the wrist injury claim, while denying removal.
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