Home/Case Law/JUANA PONCE DE MAULEON vs. HARRIS WOOLF CALIFORNIA ALMONDS, ZENITH INSURANCE COMPANY
Regular DecisionReconsideration

JUANA PONCE DE MAULEON vs. HARRIS WOOLF CALIFORNIA ALMONDS, ZENITH INSURANCE COMPANY

Filed: Apr 24, 2015
Stockton
ADJ8118127

CompFox AI Summary

The Workers' Compensation Appeals Board (WCAB) granted reconsideration and rescinded a prior finding. The WCAB determined that EMG/NCS diagnostic testing requested by the applicant's primary treating physician constitutes medical treatment. Therefore, this testing is subject to Utilization Review (UR) and subsequent Independent Medical Review (IMR), rather than being classified as a medical-legal expense adjudicated by the WCAB. The employer's petition for reconsideration was granted on this basis.

Full Decision Text1 Pages

The Workers' Compensation Appeals Board (WCAB) granted reconsideration and rescinded a prior finding. The WCAB determined that EMG/NCS diagnostic testing requested by the applicant's primary treating physician constitutes medical treatment. Therefore, this testing is subject to Utilization Review (UR) and subsequent Independent Medical Review (IMR), rather than being classified as a medical-legal expense adjudicated by the WCAB. The employer's petition for reconsideration was granted on this basis.

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JUANA PONCE DE MAULEON vs. HARRIS WOOLF CALIFORNIA ALMONDS, ZENITH INSURANCE COMPANY (2015) – Stockton | CompFox