CompFox AI Summary
The Workers' Compensation Appeals Board rescinded a prior decision and returned the case to the trial level. The Board found that while the employer failed to prove adequate notice of the Medical Provider Network (MPN) to the applicant, this alone does not automatically grant the lien claimants payment for out-of-network treatment. The lien claimants still bear the burden of proving that the employer's lack of MPN notice resulted in a denial of medical care. This specific issue requires further factual and legal determination at the trial level.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board rescinded a prior decision and returned the case to the trial level. The Board found that while the employer failed to prove adequate notice of the Medical Provider Network (MPN) to the applicant, this alone does not automatically grant the lien claimants payment for out-of-network treatment. The lien claimants still bear the burden of proving that the employer's lack of MPN notice resulted in a denial of medical care. This specific issue requires further factual and legal determination at the trial level.
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