MARICELA LEON vs. ADVANCE BUILDING MAINTENANCE INC., SECURITY NATIONAL INSURANCE COMPANY, AMTRUST CONCORD

The applicant sought reconsideration of a WCJ's finding that the Appeals Board lacked jurisdiction over medical treatment reasonableness due to a timely utilization review (UR) determination. The applicant argued the UR decision was untimely because it was not served on counsel within two days. The Appeals Board granted reconsideration, finding that a UR decision, even if timely made, is invalid if not timely communicated. Therefore, the matter was returned for a new decision, requiring the WCJ to determine if the UR decision was timely communicated and to adjudicate medical necessity if it was not.