Home/Case Law/PATRICIA NUNEZ vs. MAINSTAY BUSINESS SOLUTIONS
Regular DecisionReconsideration

PATRICIA NUNEZ vs. MAINSTAY BUSINESS SOLUTIONS

Filed: Aug 03, 2010
ADJ603509

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The Workers' Compensation Appeals Board reversed a prior award, ruling that lien claimants Fred Hafezi, M.D., Inc., and Whittier/Anaheim Physical Therapy Center were not entitled to reimbursement. The Board found that the defendant provided a valid Medical Provider Network (MPN) and applicant stipulated to receiving all MPN notices. Crucially, the lien claimants failed to meet their burden of proving they were within the defendant's MPN when services were rendered, thus their claims were disallowed.

Full Decision Text1 Pages

The Workers' Compensation Appeals Board reversed a prior award, ruling that lien claimants Fred Hafezi, M.D., Inc., and Whittier/Anaheim Physical Therapy Center were not entitled to reimbursement. The Board found that the defendant provided a valid Medical Provider Network (MPN) and applicant stipulated to receiving all MPN notices. Crucially, the lien claimants failed to meet their burden of proving they were within the defendant's MPN when services were rendered, thus their claims were disallowed.

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