CompFox AI Summary
Applicant sustained industrial injury as a truck driver in 2013, resulting in multiple body part injuries and traumatic brain injury. The employer sought to overturn the WCJ's finding that their Utilization Review (UR) determination for applicant's continued inpatient care was untimely. The Appeals Board affirmed the WCJ's decision, finding the UR was indeed untimely under Labor Code section 4610(i) for failing to meet the 72-hour timeframe for concurrent review in cases of imminent health threats. Consequently, applicant's continued inpatient care at CNS was authorized.
Full Decision Text1 Pages
Applicant sustained industrial injury as a truck driver in 2013, resulting in multiple body part injuries and traumatic brain injury. The employer sought to overturn the WCJ's finding that their Utilization Review (UR) determination for applicant's continued inpatient care was untimely. The Appeals Board affirmed the WCJ's decision, finding the UR was indeed untimely under Labor Code section 4610(i) for failing to meet the 72-hour timeframe for concurrent review in cases of imminent health threats. Consequently, applicant's continued inpatient care at CNS was authorized.
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