CompFox AI Summary
The Workers' Compensation Appeals Board denied Crystal Favila's Petition for Reconsideration and dismissed her Petition for Removal. The Board found that both the Utilization Review (UR) and Independent Medical Review (IMR) determinations denying Favila's requested surgery were timely. The Board also determined that Favila's argument regarding outdated medical guidelines was a matter of expert opinion, which cannot be overturned under Labor Code section 4610.6(h). Therefore, the WCJ's findings were affirmed, and the denial of the requested treatment was upheld.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board denied Crystal Favila's Petition for Reconsideration and dismissed her Petition for Removal. The Board found that both the Utilization Review (UR) and Independent Medical Review (IMR) determinations denying Favila's requested surgery were timely. The Board also determined that Favila's argument regarding outdated medical guidelines was a matter of expert opinion, which cannot be overturned under Labor Code section 4610.6(h). Therefore, the WCJ's findings were affirmed, and the denial of the requested treatment was upheld.
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