CompFox AI Summary
This case involved an applicant alleging industrial injury to multiple body parts, including shoulders, spine, and psyche. The Administrative Law Judge (WCJ) awarded permanent disability based on apportionment of injuries as opined by an Agreed Medical Evaluator (AME). The applicant sought reconsideration, arguing the AME's apportionment opinion lacked substantial medical evidence due to insufficient reasoning. The Appeals Board denied reconsideration, finding the AME's report, when viewed in its entirety, provided a sufficient basis for apportionment based on medical expertise. One Commissioner dissented, believing the AME's report was conclusory and lacked the necessary reasoning to constitute substantial evidence for apportionment.
Full Decision Text1 Pages
This case involved an applicant alleging industrial injury to multiple body parts, including shoulders, spine, and psyche. The Administrative Law Judge (WCJ) awarded permanent disability based on apportionment of injuries as opined by an Agreed Medical Evaluator (AME). The applicant sought reconsideration, arguing the AME's apportionment opinion lacked substantial medical evidence due to insufficient reasoning. The Appeals Board denied reconsideration, finding the AME's report, when viewed in its entirety, provided a sufficient basis for apportionment based on medical expertise. One Commissioner dissented, believing the AME's report was conclusory and lacked the necessary reasoning to constitute substantial evidence for apportionment.
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