CompFox AI Summary
The Appeals Board granted reconsideration to address disputes over the timeliness of utilization review decisions for applicant Powell's medical treatment. The WCJ had found certain UR decisions untimely, awarding treatment, but the defendant argued they were timely. The Board found the WCJ's initial decision was potentially based on improperly excluded evidence and that the timeliness of UR decisions should be assessed for the entire request for authorization, not individual treatment components. Therefore, the case was returned to the trial level for further proceedings and a new decision.
Full Decision Text1 Pages
The Appeals Board granted reconsideration to address disputes over the timeliness of utilization review decisions for applicant Powell's medical treatment. The WCJ had found certain UR decisions untimely, awarding treatment, but the defendant argued they were timely. The Board found the WCJ's initial decision was potentially based on improperly excluded evidence and that the timeliness of UR decisions should be assessed for the entire request for authorization, not individual treatment components. Therefore, the case was returned to the trial level for further proceedings and a new decision.
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