Home/Case Law/SALVADOR CERDA vs. CHARTER OAK UNIFIED SCHOOL DISTRICT, YORK INSURANCE SERVICES GROUP
Regular DecisionReconsideration

SALVADOR CERDA vs. CHARTER OAK UNIFIED SCHOOL DISTRICT, YORK INSURANCE SERVICES GROUP

Filed: Jan 21, 2011
ADJ4030941

CompFox AI Summary

The Workers' Compensation Appeals Board denied the defendant school district's petition for reconsideration regarding applicant Salvador Cerda's medical treatment. The Board found that applicant's treatment with Dr. Paz was within the defendant's Medical Provider Network (MPN), rendering moot any arguments about the adequacy of the MPN notices. While Dr. Paz was listed in the MPN at a Los Angeles address, the Board held that the MPN agreement did not restrict treatment to that specific location or Tax ID. Therefore, the WCJ's determination that applicant was entitled to treat outside the MPN due to notice deficiencies was not reconsidered, as the treatment was deemed within the network.

Full Decision Text1 Pages

The Workers' Compensation Appeals Board denied the defendant school district's petition for reconsideration regarding applicant Salvador Cerda's medical treatment. The Board found that applicant's treatment with Dr. Paz was within the defendant's Medical Provider Network (MPN), rendering moot any arguments about the adequacy of the MPN notices. While Dr. Paz was listed in the MPN at a Los Angeles address, the Board held that the MPN agreement did not restrict treatment to that specific location or Tax ID. Therefore, the WCJ's determination that applicant was entitled to treat outside the MPN due to notice deficiencies was not reconsidered, as the treatment was deemed within the network.

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SALVADOR CERDA vs. CHARTER OAK UNIFIED SCHOOL DISTRICT, YORK INSURANCE SERVICES GROUP (2011) – | CompFox