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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.
BRET BRETCHES vs. WAL-MART ASSOCIATION AMERICAN HOME ASSURANCE, Administered by FRANK GATES SERVICE COMPANY is a workers' compensation case decided in San Francisco. This case addresses legal issues related to compensation claims, benefits, and court rulings.
It is commonly referenced in legal research involving workers' compensation laws in San Francisco.
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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