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The Appeals Board holds that a utilization review report is admissible for the limited purpose of showing a dispute over industrial causation has arisen, but not to determine causation itself; the defendant must then follow the AME/QME process to resolve the causation dispute.
LISA SIMMONS vs. STATE OF CALIFORNIA, DEPT. OF MENTAL HEALTH, STATE COMPENSATION INSURANCE FUND is a workers' compensation case decided in MISSING. 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 MISSING.
Full Decision Text1 Pages
The Appeals Board holds that a utilization review report is admissible for the limited purpose of showing a dispute over industrial causation has arisen, but not to determine causation itself; the defendant must then follow the AME/QME process to resolve the causation dispute.
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