Home/Case Law/MARIA ELENA GRIJALVA vs. CARE ADMINISTRATION AND MANAGEMENT PROFESSIONALS, CYPRESS INSURANCE COMPANY
Regular DecisionWorkers' Compensation

MARIA ELENA GRIJALVA vs. CARE ADMINISTRATION AND MANAGEMENT PROFESSIONALS, CYPRESS INSURANCE COMPANY

Filed: Mar 18, 2016
Oakland
ADJ91 42464

CompFox AI Summary

The Appeals Board granted defendant's petition for removal, rescinding the WCJ's order for a PQME to comment on previously denied medical treatment. Discovery closed at the Mandatory Settlement Conference, and the UR/IMR denials rendered the treatment dispute non-justiciable at trial. Applicant must submit a new RFA for the disputed treatment, not seek PQME opinion. The case returns to the trial level for further proceedings.

Full Decision Text1 Pages

The Appeals Board granted defendant's petition for removal, rescinding the WCJ's order for a PQME to comment on previously denied medical treatment. Discovery closed at the Mandatory Settlement Conference, and the UR/IMR denials rendered the treatment dispute non-justiciable at trial. Applicant must submit a new RFA for the disputed treatment, not seek PQME opinion. The case returns to the trial level for further proceedings.

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MARIA ELENA GRIJALVA vs. CARE ADMINISTRATION AND MANAGEMENT PROFESSIONALS, CYPRESS INSURANCE COMPANY (2016) – Oakland | CompFox