CompFox AI Summary
The Workers' Compensation Appeals Board granted reconsideration and rescinded a prior award concerning industrial injuries sustained by Jorge Perez. The primary issue was whether the applicant was entitled to recommended dental treatment, which the defendant had denied via utilization review (UR). The Board found the record unclear regarding the timeliness of the defendant's UR denial and the applicant's subsequent objection process. Consequently, the case was remanded for further development of the record, particularly concerning the UR timeline and the dispute resolution procedures under Labor Code sections 4062 and 4062.2.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board granted reconsideration and rescinded a prior award concerning industrial injuries sustained by Jorge Perez. The primary issue was whether the applicant was entitled to recommended dental treatment, which the defendant had denied via utilization review (UR). The Board found the record unclear regarding the timeliness of the defendant's UR denial and the applicant's subsequent objection process. Consequently, the case was remanded for further development of the record, particularly concerning the UR timeline and the dispute resolution procedures under Labor Code sections 4062 and 4062.2.
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