CompFox AI Summary
This case involves a workers' compensation claim where the applicant self-procured medical treatment outside the defendant's Medical Provider Network (MPN). The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration, affirming the administrative law judge's award of $6,304.87 to the lien claimant for reasonable medical treatment. The Board found the defendant failed to provide adequate notice of the applicant's MPN rights, making them liable for the self-procured treatment. A dissenting opinion argued the defendant had sufficiently established MPN control and notified the applicant, therefore not being liable for outside treatment.
Full Decision Text1 Pages
This case involves a workers' compensation claim where the applicant self-procured medical treatment outside the defendant's Medical Provider Network (MPN). The Workers' Compensation Appeals Board denied the defendant's petition for reconsideration, affirming the administrative law judge's award of $6,304.87 to the lien claimant for reasonable medical treatment. The Board found the defendant failed to provide adequate notice of the applicant's MPN rights, making them liable for the self-procured treatment. A dissenting opinion argued the defendant had sufficiently established MPN control and notified the applicant, therefore not being liable for outside treatment.
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