Home/Case Law/RAFAEL CORONADO vs. WABI SABI RESTAURANT GROUP, ZENITH INSURANCE COMPANY
Regular DecisionReconsideration

RAFAEL CORONADO vs. WABI SABI RESTAURANT GROUP, ZENITH INSURANCE COMPANY

Filed: Oct 13, 2016
Riverside
ADJ8977862, ADJ9143554

CompFox AI Summary

The Workers' Compensation Appeals Board (WCAB) rescinded a prior award for medical-legal expenses to California Imaging Solutions (CIS). The Board remanded the case for further proceedings, requiring the lien claimant to prove when the applicant's claim became "contested" according to Labor Code section 4620(b). The defendant argued that CIS services were incurred before the claim was officially denied and therefore not valid medical-legal expenses. The WCAB emphasized that lien claimants bear the burden of proving the existence of a contested claim at the time expenses were incurred.

Full Decision Text1 Pages

The Workers' Compensation Appeals Board (WCAB) rescinded a prior award for medical-legal expenses to California Imaging Solutions (CIS). The Board remanded the case for further proceedings, requiring the lien claimant to prove when the applicant's claim became "contested" according to Labor Code section 4620(b). The defendant argued that CIS services were incurred before the claim was officially denied and therefore not valid medical-legal expenses. The WCAB emphasized that lien claimants bear the burden of proving the existence of a contested claim at the time expenses were incurred.

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RAFAEL CORONADO vs. WABI SABI RESTAURANT GROUP, ZENITH INSURANCE COMPANY (2016) – Riverside | CompFox