CompFox AI Summary
The Workers' Compensation Appeals Board denied reconsideration of a decision disallowing a lien claim from Tri-City Health Group. The WCJ found the lien claimant failed to prove the medical treatment was necessary and reasonable. The Board agreed that the lien claimant did not sustain its burden of proof regarding medical necessity, the reasonableness of the services, or entitlement to payment under Labor Code section 5402(c). Furthermore, the Board found no evidence that the alleged injury arose out of and occurred during the course of employment, precluding employer liability for the self-procured treatment.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board denied reconsideration of a decision disallowing a lien claim from Tri-City Health Group. The WCJ found the lien claimant failed to prove the medical treatment was necessary and reasonable. The Board agreed that the lien claimant did not sustain its burden of proof regarding medical necessity, the reasonableness of the services, or entitlement to payment under Labor Code section 5402(c). Furthermore, the Board found no evidence that the alleged injury arose out of and occurred during the course of employment, precluding employer liability for the self-procured treatment.
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