CompFox AI Summary
The Workers' Compensation Appeals Board affirmed the trial judge's decision, finding that the defendant employer's late provision of Medical Provider Network (MPN) notice did not constitute a denial of medical care. Although the employer failed to provide timely MPN notices, the applicant did not prove that this failure directly caused a denial of treatment. The applicant's attorney's correspondence was deemed contradictory regarding the desire to change physicians within the MPN versus self-procuring care outside it. Therefore, the defendant is not liable for the applicant's self-procured treatment outside the MPN.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board affirmed the trial judge's decision, finding that the defendant employer's late provision of Medical Provider Network (MPN) notice did not constitute a denial of medical care. Although the employer failed to provide timely MPN notices, the applicant did not prove that this failure directly caused a denial of treatment. The applicant's attorney's correspondence was deemed contradictory regarding the desire to change physicians within the MPN versus self-procuring care outside it. Therefore, the defendant is not liable for the applicant's self-procured treatment outside the MPN.
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