CompFox AI Summary
This case concerns applicant Linda Packard's request for reconsideration of a Workers' Compensation Appeals Board (WCAB) decision denying specific dental treatment, extraction of tooth 18 and a cantilever bridge. The WCAB denied reconsideration, upholding the administrative law judge's finding that the requested treatment was not medically necessary due to the industrial injury. The dissenting commissioner argued that the jaw condition was encompassed within the initial finding of "head" injury and that the WCAB retained jurisdiction to enforce the prior award of further medical treatment. The dissent proposed granting reconsideration to find liability for jaw treatment and allow for utilization review of the specific procedure.
Full Decision Text1 Pages
This case concerns applicant Linda Packard's request for reconsideration of a Workers' Compensation Appeals Board (WCAB) decision denying specific dental treatment, extraction of tooth 18 and a cantilever bridge. The WCAB denied reconsideration, upholding the administrative law judge's finding that the requested treatment was not medically necessary due to the industrial injury. The dissenting commissioner argued that the jaw condition was encompassed within the initial finding of "head" injury and that the WCAB retained jurisdiction to enforce the prior award of further medical treatment. The dissent proposed granting reconsideration to find liability for jaw treatment and allow for utilization review of the specific procedure.
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