CompFox AI Summary
The Workers' Compensation Appeals Board denied Teresa Garcia's petition for reconsideration, affirming the Administrative Law Judge's decision allowing the defendant Tulaphorn, Inc. to litigate the Medical Provider Network (MPN) issue. The Board found insufficient evidence that the defendant neglected or refused to provide treatment, a necessary condition for the applicant to self-procure care outside the MPN. Applicant's claim that a June 8, 2020 letter designating a new physician was mailed was not substantiated, and the Board rejected the argument that the defendant waived its right to litigate the MPN issue. Therefore, applicant is obligated to seek treatment within the defendant's established MPN.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board denied Teresa Garcia's petition for reconsideration, affirming the Administrative Law Judge's decision allowing the defendant Tulaphorn, Inc. to litigate the Medical Provider Network (MPN) issue. The Board found insufficient evidence that the defendant neglected or refused to provide treatment, a necessary condition for the applicant to self-procure care outside the MPN. Applicant's claim that a June 8, 2020 letter designating a new physician was mailed was not substantiated, and the Board rejected the argument that the defendant waived its right to litigate the MPN issue. Therefore, applicant is obligated to seek treatment within the defendant's established MPN.
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