Home/Case Law/Kimberly Bigham vs. Epic Management, Oak Insurance Co., Bershire Hathaway
Regular DecisionRegular Panel Decision

Kimberly Bigham vs. Epic Management, Oak Insurance Co., Bershire Hathaway

Filed: Jan 22, 2014
San Bernardino
ADJ6755122

CompFox AI Summary

This case concerns the validity of a utilization review (UR) and subsequent Independent Medical Review (IMR) denial by defendants. The WCJ found the UR invalid for procedural defects, specifically improper service on the applicant's counsel. Defendants sought reconsideration, arguing the WCJ erred by deeming the UR invalid based on service rules and by issuing a vague award. The Appeals Board granted reconsideration, adopting the WCJ's reasoning and affirming the decision, while correcting a typographical error in the award.

Full Decision Text1 Pages

This case concerns the validity of a utilization review (UR) and subsequent Independent Medical Review (IMR) denial by defendants. The WCJ found the UR invalid for procedural defects, specifically improper service on the applicant's counsel. Defendants sought reconsideration, arguing the WCJ erred by deeming the UR invalid based on service rules and by issuing a vague award. The Appeals Board granted reconsideration, adopting the WCJ's reasoning and affirming the decision, while correcting a typographical error in the award.

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Kimberly Bigham vs. Epic Management, Oak Insurance Co., Bershire Hathaway (2014) – San Bernardino | CompFox