CompFox AI Summary
The Workers' Compensation Appeals Board affirmed a prior decision disallowing a lien claimant's claim for payment for medical treatment. The Board found that the treating physician's prior opinion, stating the applicant had reached maximum medical improvement and required no further treatment, constituted substantial evidence. Therefore, the lien claimant failed to meet its burden of proving the treatment was reasonably required to cure or relieve the applicant's industrial injury. The Board also noted a lack of evidence regarding the scope of a prior settlement and dismissed arguments about utilization review.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board affirmed a prior decision disallowing a lien claimant's claim for payment for medical treatment. The Board found that the treating physician's prior opinion, stating the applicant had reached maximum medical improvement and required no further treatment, constituted substantial evidence. Therefore, the lien claimant failed to meet its burden of proving the treatment was reasonably required to cure or relieve the applicant's industrial injury. The Board also noted a lack of evidence regarding the scope of a prior settlement and dismissed arguments about utilization review.
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