CompFox AI Summary
The Workers' Compensation Appeals Board (WCAB) rescinded a prior decision denying a lien claim for an H-wave device and returned the case to the trial level for further proceedings. The WCAB found that the defendant may not have properly conducted the utilization review process and failed to notify the applicant's attorney of the denial, estopping them from asserting time limits. The Board also noted a lack of substantial evidence regarding the medical necessity of the device and ordered further development of the record to determine if the H-wave is reasonable and necessary treatment.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board (WCAB) rescinded a prior decision denying a lien claim for an H-wave device and returned the case to the trial level for further proceedings. The WCAB found that the defendant may not have properly conducted the utilization review process and failed to notify the applicant's attorney of the denial, estopping them from asserting time limits. The Board also noted a lack of substantial evidence regarding the medical necessity of the device and ordered further development of the record to determine if the H-wave is reasonable and necessary treatment.
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