Home/Case Law/ROGELIO NUNEZ vs. RAYMOND INTERIOR SYSTEMS, ZURICH NORTH AMERICA
Regular DecisionReconsideration

ROGELIO NUNEZ vs. RAYMOND INTERIOR SYSTEMS, ZURICH NORTH AMERICA

Filed: Sep 17, 2009
San Francisco
ADJ2122972 (POM 0291979)

CompFox AI Summary

The Workers' Compensation Appeals Board (WCAB) granted reconsideration and rescinded the prior decision regarding a $23,000 lien claim for acupuncture. The WCAB found that the employer's utilization review (UR) process for the recommended acupuncture treatment was unclear and ordered the case returned to the trial level. This re-examination is to determine if the employer timely conducted UR on the treating physician's recommendations for acupuncture. Additionally, the WCAB noted that the 24-session limitation does not apply to acupuncture.

Full Decision Text1 Pages

The Workers' Compensation Appeals Board (WCAB) granted reconsideration and rescinded the prior decision regarding a $23,000 lien claim for acupuncture. The WCAB found that the employer's utilization review (UR) process for the recommended acupuncture treatment was unclear and ordered the case returned to the trial level. This re-examination is to determine if the employer timely conducted UR on the treating physician's recommendations for acupuncture. Additionally, the WCAB noted that the 24-session limitation does not apply to acupuncture.

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