CompFox AI Summary
The Workers' Compensation Appeals Board denied reconsideration of a decision that awarded the lien claimant $$ 2,145.00$ for surgical services, disallowing the remaining $$ 15,434.54$. The Board found that the lien claimant failed to meet its burden of proof to establish the reasonableness of its charges, relying on expert testimony and fee schedule calculations presented by the defendant. This decision emphasizes that the lien claimant bears the affirmative burden to demonstrate the reasonableness of its fees for outpatient surgery center services.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board denied reconsideration of a decision that awarded the lien claimant $$ 2,145.00$ for surgical services, disallowing the remaining $$ 15,434.54$. The Board found that the lien claimant failed to meet its burden of proof to establish the reasonableness of its charges, relying on expert testimony and fee schedule calculations presented by the defendant. This decision emphasizes that the lien claimant bears the affirmative burden to demonstrate the reasonableness of its fees for outpatient surgery center services.
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