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Regular DecisionReconsideration

SARAH FLORES vs. COUNTY OF SAN BERNARDINO

Filed: Jan 03, 2018
San Bernardino
ADJ9126178

CompFox AI Summary

The Workers' Compensation Appeals Board denied reconsideration of an order that denied a lien claimant's claim for aqua therapy treatment costs. The Board found the treatment was properly denied through utilization review, and the lien claimant failed to exhaust required appeal remedies like Independent Medical Review. The Board also upheld the award of attorney fees and costs to the defendant, finding the lien claimant proceeded to trial without a good faith basis, consistent with Torres v. AJC Sandblasting.

Full Decision Text1 Pages

The Workers' Compensation Appeals Board denied reconsideration of an order that denied a lien claimant's claim for aqua therapy treatment costs. The Board found the treatment was properly denied through utilization review, and the lien claimant failed to exhaust required appeal remedies like Independent Medical Review. The Board also upheld the award of attorney fees and costs to the defendant, finding the lien claimant proceeded to trial without a good faith basis, consistent with Torres v. AJC Sandblasting.

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SARAH FLORES vs. COUNTY OF SAN BERNARDINO (2018) – San Bernardino | CompFox