Home/Case Law/PEDRO ANTONIO vs. L'OREAL, XL SPECIALTY INSURANCE COMPANY, Administered by BROADSPIRE
Regular Decision

PEDRO ANTONIO vs. L'OREAL, XL SPECIALTY INSURANCE COMPANY, Administered by BROADSPIRE

Filed: Sep 09, 2014
Van Nuys
ADJ7491411

CompFox AI Summary

This case involves a defendant's successful Petition for Removal to rescind an order that took the matter off calendar for an Agreed Medical Evaluator (AME) review. The defendant argued that lien claimants, who bear the burden of proof for medical expenses, had not requested an AME review or deposition. The Appeals Board agreed that Labor Code section 4062.3(k) does not mandate AME review for lien disputes after the applicant's case has settled. Therefore, the case is returned to the trial level for a lien trial.

Full Decision Text1 Pages

This case involves a defendant's successful Petition for Removal to rescind an order that took the matter off calendar for an Agreed Medical Evaluator (AME) review. The defendant argued that lien claimants, who bear the burden of proof for medical expenses, had not requested an AME review or deposition. The Appeals Board agreed that Labor Code section 4062.3(k) does not mandate AME review for lien disputes after the applicant's case has settled. Therefore, the case is returned to the trial level for a lien trial.

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PEDRO ANTONIO vs. L'OREAL, XL SPECIALTY INSURANCE COMPANY, Administered by BROADSPIRE (2014) – Van Nuys | CompFox