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Regular DecisionWorkers' Compensation

SOLEDAD GARCIA vs. LYONS MAGNUS, INC., AMERICAN ZURICH INSURANCE COMPANY, TRISTAR RISK MANAGEMENT

Filed: Sep 24, 2015
Fresno
ADJ9618682

CompFox AI Summary

The applicant sought removal from a Workers' Compensation Appeals Board order that required her to treat within the defendant's Medical Provider Network (MPN). She argued the MPN lacked sufficient physiatrists, violating access standards, and sought to treat outside it. However, the Board denied removal, finding the applicant presented no evidence to support her claim that the MPN failed access standards or caused denial of treatment. The applicant failed to demonstrate significant prejudice or irreparable harm, and a lack of evidence was the primary impediment to her case.

Full Decision Text1 Pages

The applicant sought removal from a Workers' Compensation Appeals Board order that required her to treat within the defendant's Medical Provider Network (MPN). She argued the MPN lacked sufficient physiatrists, violating access standards, and sought to treat outside it. However, the Board denied removal, finding the applicant presented no evidence to support her claim that the MPN failed access standards or caused denial of treatment. The applicant failed to demonstrate significant prejudice or irreparable harm, and a lack of evidence was the primary impediment to her case.

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SOLEDAD GARCIA vs. LYONS MAGNUS, INC., AMERICAN ZURICH INSURANCE COMPANY, TRISTAR RISK MANAGEMENT (2015) – Fresno | CompFox