Home/Case Law/RAUL BAILON MARTINEZ vs. VILLA PARK LANDSCAPE, OAK RIVER INSURANCE
Regular DecisionRegular Panel Decision

RAUL BAILON MARTINEZ vs. VILLA PARK LANDSCAPE, OAK RIVER INSURANCE

Filed: Mar 28, 2025
Anaheim
ADJ16834660

CompFox AI Summary

Lien claimant Medland Medical sought reconsideration of a December 31, 2024 Findings and Orders (F&O) where the WCJ denied reimbursement for medical services prior to claim denial but allowed it for services after, pending valuation. The lien claimant argued entitlement to reimbursement during the claim delay due to the employer's failure to provide proper Medical Provider Network (MPN) notice and alleged that their medical-legal report from Omid Haghighinia, D.C., was a valid expense. The Appeals Board reviewed the Petition for Reconsideration, the Answer from the defendant, and the WCJ's Report and Recommendation. The Board granted the Petition for Reconsideration but deferred a final decision, emphasizing the non-final nature of interlocutory orders and the need for further record development.

Full Decision Text1 Pages

Lien claimant Medland Medical sought reconsideration of a December 31, 2024 Findings and Orders (F&O) where the WCJ denied reimbursement for medical services prior to claim denial but allowed it for services after, pending valuation. The lien claimant argued entitlement to reimbursement during the claim delay due to the employer's failure to provide proper Medical Provider Network (MPN) notice and alleged that their medical-legal report from Omid Haghighinia, D.C., was a valid expense. The Appeals Board reviewed the Petition for Reconsideration, the Answer from the defendant, and the WCJ's Report and Recommendation. The Board granted the Petition for Reconsideration but deferred a final decision, emphasizing the non-final nature of interlocutory orders and the need for further record development.

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