CompFox AI Summary
This case concerns a dispute over a $8,177.09 balance owed to a lien claimant, Summit Surgical, for outpatient surgical services. The defendant sought reconsideration of the Workers' Compensation Judge's award, arguing the lien claimant failed to prove the treatment was reasonable and necessary per Kunz and Tapia, and that the claim was barred by the statute of limitations. The Appeals Board granted reconsideration, rescinded the award, and returned the matter for further proceedings. The Board found the WCJ failed to rule on the statute of limitations defense, which is a mandatory issue to address.
Full Decision Text1 Pages
This case concerns a dispute over a $8,177.09 balance owed to a lien claimant, Summit Surgical, for outpatient surgical services. The defendant sought reconsideration of the Workers' Compensation Judge's award, arguing the lien claimant failed to prove the treatment was reasonable and necessary per Kunz and Tapia, and that the claim was barred by the statute of limitations. The Appeals Board granted reconsideration, rescinded the award, and returned the matter for further proceedings. The Board found the WCJ failed to rule on the statute of limitations defense, which is a mandatory issue to address.
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