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The Appeals Board denied the defendant's petition for reconsideration, upholding the administrative law judge's decision that the applicant could continue treatment with her chosen surgeon outside the defendant's Medical Provider Network (MPN). The defendant failed to provide proper notice of the MPN and applicant's rights, thus unreasonably refusing to authorize treatment and travel expenses. This failure to comply with MPN notification requirements meant the defendant remained liable for reasonable medical treatment self-procured by the applicant.
COURTNEY PENEBAKER vs. CIGNA HEALTHCARE and CIGNA PROPERTY & CASUALTY COMPANY / ACE USA is a workers' compensation case decided in . 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 .
Full Decision Text1 Pages
The Appeals Board denied the defendant's petition for reconsideration, upholding the administrative law judge's decision that the applicant could continue treatment with her chosen surgeon outside the defendant's Medical Provider Network (MPN). The defendant failed to provide proper notice of the MPN and applicant's rights, thus unreasonably refusing to authorize treatment and travel expenses. This failure to comply with MPN notification requirements meant the defendant remained liable for reasonable medical treatment self-procured by the applicant.
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