CompFox AI Summary
This case involves an applicant seeking reconsideration after the WCJ denied her claim for self-procured medical treatment. The applicant contended the employer breached its duty to provide timely treatment within its Medical Provider Network (MPN), entitling her to seek care outside the network at the employer's expense. The Board affirmed the WCJ's finding that the employer did not breach its duty, as the applicant's communications were unclear and did not effectively request treatment. Therefore, the employer retained control over the applicant's medical care within its MPN.
Full Decision Text1 Pages
This case involves an applicant seeking reconsideration after the WCJ denied her claim for self-procured medical treatment. The applicant contended the employer breached its duty to provide timely treatment within its Medical Provider Network (MPN), entitling her to seek care outside the network at the employer's expense. The Board affirmed the WCJ's finding that the employer did not breach its duty, as the applicant's communications were unclear and did not effectively request treatment. Therefore, the employer retained control over the applicant's medical care within its MPN.
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