CompFox AI Summary
The Workers' Compensation Appeals Board denied the insurer's petition for reconsideration of a prior order. The prior order found lien claimant Pharma Finance's medical treatment reasonable and necessary, deemed a specific regulation inapplicable, and directed further development of the record regarding the value of the services. The Board found the petition skeletal and also noted the insurer agreed with the finding on the regulation's inapplicability. Furthermore, the insurer had stipulated to the primary treating physician and did not raise the Medical Provider Network issue at trial, and while Labor Code section 4903.8 was implicitly raised, no specific findings were made on its application, nor was a final order on the lien amount issued.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board denied the insurer's petition for reconsideration of a prior order. The prior order found lien claimant Pharma Finance's medical treatment reasonable and necessary, deemed a specific regulation inapplicable, and directed further development of the record regarding the value of the services. The Board found the petition skeletal and also noted the insurer agreed with the finding on the regulation's inapplicability. Furthermore, the insurer had stipulated to the primary treating physician and did not raise the Medical Provider Network issue at trial, and while Labor Code section 4903.8 was implicitly raised, no specific findings were made on its application, nor was a final order on the lien amount issued.
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