CompFox AI Summary
The Appeals Board affirmed the WCJ's decision disallowing a lien claimant's $12,351.00 claim for four MRIs. The WCJ had found the MRIs were medically unreasonable and not compensable. The Board agreed, noting that the MRIs were performed after the defendant denied authorization, and the results were not shown to have been reviewed by the applicant's physician. Therefore, the MRIs were not deemed reasonable medical treatment for which the defendant is liable.
SEGUNDA DE-VALIENTE vs. LOS FELIZ GARDENS, VIRGINIA SURETY COMPANY is a workers' compensation case decided in San Francisco. This case addresses legal issues related to compensation claims, benefits, and court rulings.
It is commonly referenced in legal research involving workers' compensation laws in San Francisco.
Full Decision Text1 Pages
The Appeals Board affirmed the WCJ's decision disallowing a lien claimant's $12,351.00 claim for four MRIs. The WCJ had found the MRIs were medically unreasonable and not compensable. The Board agreed, noting that the MRIs were performed after the defendant denied authorization, and the results were not shown to have been reviewed by the applicant's physician. Therefore, the MRIs were not deemed reasonable medical treatment for which the defendant is liable.
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