Home/Case Law/JAIME RAMIREZ LEON vs. PEOPLEASE/FTU, NATIONAL INTERSTATE INSURANCE
Regular DecisionReconsideration

JAIME RAMIREZ LEON vs. PEOPLEASE/FTU, NATIONAL INTERSTATE INSURANCE

Filed: Sep 17, 2018
Stockton
ADJ9724680

CompFox AI Summary

The applicant sought reconsideration of an award denying temporary disability, permanent disability, and further medical care for a right shoulder injury. The applicant argued the primary treating physician's report lacked substantial evidence due to an inadequate history and exam, and the WCJ erred in not relying on the PQME's report. The Appeals Board granted reconsideration to develop the record, specifically regarding whether the primary treating physician reviewed an MRI prior to her report. The original award was rescinded, and the matter was returned for further proceedings and a new decision by the WCJ.

Full Decision Text1 Pages

The applicant sought reconsideration of an award denying temporary disability, permanent disability, and further medical care for a right shoulder injury. The applicant argued the primary treating physician's report lacked substantial evidence due to an inadequate history and exam, and the WCJ erred in not relying on the PQME's report. The Appeals Board granted reconsideration to develop the record, specifically regarding whether the primary treating physician reviewed an MRI prior to her report. The original award was rescinded, and the matter was returned for further proceedings and a new decision by the WCJ.

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