CompFox AI Summary
This case involves an applicant seeking treatment outside the defendant's Medical Provider Network (MPN) following a workplace injury. The WCAB granted the defendant's petition for reconsideration, rescinding the prior finding that allowed out-of-network treatment. The Board determined the Administrative Law Judge (ALJ) failed to fully analyze the case under controlling precedent, specifically the Knight decision, which requires a finding of "neglect or refusal to provide reasonable medical treatment." The matter is remanded for further proceedings and a new decision by the ALJ, with the Board noting the argument regarding posting requirements under Labor Code section 3550 is particularly persuasive.
Full Decision Text1 Pages
This case involves an applicant seeking treatment outside the defendant's Medical Provider Network (MPN) following a workplace injury. The WCAB granted the defendant's petition for reconsideration, rescinding the prior finding that allowed out-of-network treatment. The Board determined the Administrative Law Judge (ALJ) failed to fully analyze the case under controlling precedent, specifically the Knight decision, which requires a finding of "neglect or refusal to provide reasonable medical treatment." The matter is remanded for further proceedings and a new decision by the ALJ, with the Board noting the argument regarding posting requirements under Labor Code section 3550 is particularly persuasive.
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