CompFox AI Summary
This case concerns whether medical reports from a physician outside the defendant's Medical Provider Network (MPN) were admissible and if the applicant should repay temporary disability benefits. The Appeals Board granted reconsideration, reversing the WCJ's exclusion of the non-MPN physician's reports and reinstating temporary disability benefits. The Board found the WCJ improperly rescinded prior rulings, and restitution was unwarranted as the applicant did not act fraudulently. The matter was remanded to determine the defendant's credit for payments made to the non-MPN physician.
Full Decision Text1 Pages
This case concerns whether medical reports from a physician outside the defendant's Medical Provider Network (MPN) were admissible and if the applicant should repay temporary disability benefits. The Appeals Board granted reconsideration, reversing the WCJ's exclusion of the non-MPN physician's reports and reinstating temporary disability benefits. The Board found the WCJ improperly rescinded prior rulings, and restitution was unwarranted as the applicant did not act fraudulently. The matter was remanded to determine the defendant's credit for payments made to the non-MPN physician.
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