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The WCAB affirmed the judge's award of $2,625.00 to lien claimant Dr. Gabriel for a medical-legal report, reducing his billed amount by $875.00. The Board found that the doctor's report did not qualify as a Qualified Medical Evaluation and that the lien claimant failed to meet his burden of proving the reasonableness of the full billed amount, particularly regarding the time spent on report preparation. While defendants did not strictly follow objection procedures, their challenge to the report's reasonableness was considered, and the WCJ's discretionary reduction was upheld. Consequently, the lien claimant's petition for reconsideration was denied.
Lawrence Ware vs. Abrazo Del Sol, Inc., Zenith Insurance Company is a workers' compensation case decided in San Francisco. This case addresses legal issues related to compensation claims, benefits, and court rulings.
It is commonly referenced in legal research involving workers' compensation laws in San Francisco.
Full Decision Text1 Pages
The WCAB affirmed the judge's award of $2,625.00 to lien claimant Dr. Gabriel for a medical-legal report, reducing his billed amount by $875.00. The Board found that the doctor's report did not qualify as a Qualified Medical Evaluation and that the lien claimant failed to meet his burden of proving the reasonableness of the full billed amount, particularly regarding the time spent on report preparation. While defendants did not strictly follow objection procedures, their challenge to the report's reasonableness was considered, and the WCJ's discretionary reduction was upheld. Consequently, the lien claimant's petition for reconsideration was denied.
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