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The Appeals Board granted reconsideration to review a WCJ's decision that denied certain medication charges claimed by lien claimant Dr. Charles Schwarz, while upholding other treatment charges. The lien claimant argued that denials were untimely or that prescriptions were not submitted to utilization review. However, the Board affirmed the WCJ's decision, reiterating that the lien claimant bears the burden of proving the reasonableness and necessity of the treatment. Crucially, the lien claimant failed to establish the amount owed on its lien or provide payment documentation, thus failing to meet its evidentiary burden.
MARIA CONTRERAS vs. PRODUCTS ENGINEERING CORPORATION, STATE COMPENSATION INSURANCE FUND is a workers' compensation case decided in Long Beach. 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 Long Beach.
Full Decision Text1 Pages
The Appeals Board granted reconsideration to review a WCJ's decision that denied certain medication charges claimed by lien claimant Dr. Charles Schwarz, while upholding other treatment charges. The lien claimant argued that denials were untimely or that prescriptions were not submitted to utilization review. However, the Board affirmed the WCJ's decision, reiterating that the lien claimant bears the burden of proving the reasonableness and necessity of the treatment. Crucially, the lien claimant failed to establish the amount owed on its lien or provide payment documentation, thus failing to meet its evidentiary burden.
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