CompFox AI Summary
The Appeals Board granted reconsideration to amend a prior decision, but otherwise affirmed it. The employer, Earthwise Trucking, appealed a penalty and interest assessed on an unpaid medical bill, arguing they paid at the "rate in effect" and the bill was not "properly documented." The Board found that the employer's stipulation of an outstanding balance meant they did not pay the full amount due under the Official Medical Fee Schedule (OMFS) within the statutory timeframe. The Board clarified that timely payment is required according to the OMFS rate in effect on the date of service, not based on the employer's internal bill review.
Full Decision Text1 Pages
The Appeals Board granted reconsideration to amend a prior decision, but otherwise affirmed it. The employer, Earthwise Trucking, appealed a penalty and interest assessed on an unpaid medical bill, arguing they paid at the "rate in effect" and the bill was not "properly documented." The Board found that the employer's stipulation of an outstanding balance meant they did not pay the full amount due under the Official Medical Fee Schedule (OMFS) within the statutory timeframe. The Board clarified that timely payment is required according to the OMFS rate in effect on the date of service, not based on the employer's internal bill review.
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