Home/Case Law/ARMANDO MATA vs. SUPERMERCADO MI TIERRA, LLC, CALIFORNIA INSURANCE COMPANY, APPLIED RISK SERVICES
Regular DecisionWorkers' Compensation

ARMANDO MATA vs. SUPERMERCADO MI TIERRA, LLC, CALIFORNIA INSURANCE COMPANY, APPLIED RISK SERVICES

Filed: Apr 10, 2017
Stockton
ADJ10443530

CompFox AI Summary

The Workers' Compensation Appeals Board denied the employer's Petition for Removal but granted reconsideration for the limited purpose of deferring the issue of unreasonable delay in providing medical treatment. The Board affirmed the finding that the applicant is in need of cervical fusion surgery approved by utilization review. However, the Board ruled that the employer did not timely dispute the UR approval and therefore cannot defer payment, but the issue of unreasonable delay under Labor Code section 5814 was not properly before the Administrative Law Judge.

Full Decision Text1 Pages

The Workers' Compensation Appeals Board denied the employer's Petition for Removal but granted reconsideration for the limited purpose of deferring the issue of unreasonable delay in providing medical treatment. The Board affirmed the finding that the applicant is in need of cervical fusion surgery approved by utilization review. However, the Board ruled that the employer did not timely dispute the UR approval and therefore cannot defer payment, but the issue of unreasonable delay under Labor Code section 5814 was not properly before the Administrative Law Judge.

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ARMANDO MATA vs. SUPERMERCADO MI TIERRA, LLC, CALIFORNIA INSURANCE COMPANY, APPLIED RISK SERVICES (2017) – Stockton | CompFox