CompFox AI Summary
The Appeals Board denied the defendant's petition for reconsideration of a Workers' Compensation Judge's (WCJ) decision. The WCJ found the defendant's utilization review (UR) of the applicant's medication request untimely. Although the WCJ's reasoning for the untimeliness was partially flawed, the Board affirmed the outcome. The defendant failed to timely communicate its UR decision, which was made on November 20, 2015, and not issued until November 23, 2015, exceeding the statutory 24-hour communication requirement after a UR determination.
Full Decision Text1 Pages
The Appeals Board denied the defendant's petition for reconsideration of a Workers' Compensation Judge's (WCJ) decision. The WCJ found the defendant's utilization review (UR) of the applicant's medication request untimely. Although the WCJ's reasoning for the untimeliness was partially flawed, the Board affirmed the outcome. The defendant failed to timely communicate its UR decision, which was made on November 20, 2015, and not issued until November 23, 2015, exceeding the statutory 24-hour communication requirement after a UR determination.
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