CompFox AI Summary
In this workers' compensation case, the defendant, McDonald's, sought reconsideration of a prior award finding applicant Robin Goebel sustained an industrial injury to her back and left knee. The administrative law judge had found the defendant failed to timely complete utilization review (UR) for requested medical treatment. The Appeals Board granted reconsideration, affirming the finding of untimely UR. However, the Board deferred the issue of medical necessity for the requested treatment, allowing for further development of the record on that point.
Full Decision Text1 Pages
In this workers' compensation case, the defendant, McDonald's, sought reconsideration of a prior award finding applicant Robin Goebel sustained an industrial injury to her back and left knee. The administrative law judge had found the defendant failed to timely complete utilization review (UR) for requested medical treatment. The Appeals Board granted reconsideration, affirming the finding of untimely UR. However, the Board deferred the issue of medical necessity for the requested treatment, allowing for further development of the record on that point.
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