Home/Case Law/Ella Sanchez vs. Sharp Healthcare, California Insurance Guarantee Association by its servicing facility Broadspire Services, Inc. for American Manufacturers Mutual Insurance Company, In Liquidation
Regular DecisionReconsideration

Ella Sanchez vs. Sharp Healthcare, California Insurance Guarantee Association by its servicing facility Broadspire Services, Inc. for American Manufacturers Mutual Insurance Company, In Liquidation

Filed: Aug 18, 2015
ADJ3084855 (SDO 0317515)

CompFox AI Summary

This case concerns a workers' compensation lien claim for chiropractic treatment. The Appeals Board granted reconsideration and found the lien claimant failed to meet its burden of proving the treatment was reasonable and necessary. Specifically, the claimant's reports lacked documentation of the industrial injury and were inconsistent with the Agreed Medical Evaluator's findings. Consequently, the Board rescinded the prior award and ordered the lien claimant to take nothing for the balance of its claim.

Full Decision Text1 Pages

This case concerns a workers' compensation lien claim for chiropractic treatment. The Appeals Board granted reconsideration and found the lien claimant failed to meet its burden of proving the treatment was reasonable and necessary. Specifically, the claimant's reports lacked documentation of the industrial injury and were inconsistent with the Agreed Medical Evaluator's findings. Consequently, the Board rescinded the prior award and ordered the lien claimant to take nothing for the balance of its claim.

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Ella Sanchez vs. Sharp Healthcare, California Insurance Guarantee Association by its servicing facility Broadspire Services, Inc. for American Manufacturers Mutual Insurance Company, In Liquidation (2015) – | CompFox