CompFox AI Summary
In this workers' compensation case, the defendant insurer sought reconsideration of an award for lien claimants' medical services provided outside their Medical Provider Network (MPN). The Appeals Board granted reconsideration, reversing the original award. The Board found that the defendant provided timely MPN notice to the applicant and consistently offered necessary medical treatment within the network. Therefore, the Board concluded the defendant was not liable for treatment obtained outside the MPN and disallowed the lien claimants' claims.
Full Decision Text1 Pages
In this workers' compensation case, the defendant insurer sought reconsideration of an award for lien claimants' medical services provided outside their Medical Provider Network (MPN). The Appeals Board granted reconsideration, reversing the original award. The Board found that the defendant provided timely MPN notice to the applicant and consistently offered necessary medical treatment within the network. Therefore, the Board concluded the defendant was not liable for treatment obtained outside the MPN and disallowed the lien claimants' claims.
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