CompFox AI Summary
This case involves a lien claimant, Wilshire Surgicenter, Inc., challenging a Workers' Compensation Appeals Board (WCAB) decision that limited their recovery for outpatient services. The WCAB granted reconsideration solely to correct the lien claimant's name, affirming the administrative law judge's (ALJ) finding that the reasonable value of the services was $3,843.74, despite the invoiced amount of $19,165.00. The WCAB determined that while the fee schedule implemented after the services were rendered did not directly apply, it served as relevant evidence for determining the reasonableness of the facility fee.
Full Decision Text1 Pages
This case involves a lien claimant, Wilshire Surgicenter, Inc., challenging a Workers' Compensation Appeals Board (WCAB) decision that limited their recovery for outpatient services. The WCAB granted reconsideration solely to correct the lien claimant's name, affirming the administrative law judge's (ALJ) finding that the reasonable value of the services was $3,843.74, despite the invoiced amount of $19,165.00. The WCAB determined that while the fee schedule implemented after the services were rendered did not directly apply, it served as relevant evidence for determining the reasonableness of the facility fee.
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