CompFox AI Summary
This case involves a defendant seeking reconsideration of an award for 8 hours of daily home care services for the applicant, Javier Banuelos, based on an Agreed Medical Examiner's opinion. The defendant argued the award was improper due to a waived issue regarding a Utilization Review denial and improper reliance on the AME's reports. The Board denied reconsideration, finding the defendant waived the UR denial issue by raising it post-trial, and failed to argue against the substantial evidence provided by the AME. Therefore, the original Findings and Award for home care services were upheld.
Full Decision Text1 Pages
This case involves a defendant seeking reconsideration of an award for 8 hours of daily home care services for the applicant, Javier Banuelos, based on an Agreed Medical Examiner's opinion. The defendant argued the award was improper due to a waived issue regarding a Utilization Review denial and improper reliance on the AME's reports. The Board denied reconsideration, finding the defendant waived the UR denial issue by raising it post-trial, and failed to argue against the substantial evidence provided by the AME. Therefore, the original Findings and Award for home care services were upheld.
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