CompFox AI Summary
The Workers' Compensation Appeals Board denied defendant's petition for reconsideration of an award for continued care at CareMeridian. The Administrative Law Judge found the defendant failed to conduct timely utilization review (UR) for the applicant's continued care, rendering the UR invalid. The Board agreed that the untimely UR allowed them to determine the medical treatment dispute and that continued care at CareMeridian was reasonable and necessary pending an appropriately arranged transfer. The Board affirmed the finding that the defendant failed to comply with statutory requirements for concurrent UR.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board denied defendant's petition for reconsideration of an award for continued care at CareMeridian. The Administrative Law Judge found the defendant failed to conduct timely utilization review (UR) for the applicant's continued care, rendering the UR invalid. The Board agreed that the untimely UR allowed them to determine the medical treatment dispute and that continued care at CareMeridian was reasonable and necessary pending an appropriately arranged transfer. The Board affirmed the finding that the defendant failed to comply with statutory requirements for concurrent UR.
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