Home/Case Law/Valente Martinez vs. MESA VERDE PARTNERS DBA COSTA MESA COUNTRY CLUB, AMERICAN CLAIMS MANAGEMENT
Regular DecisionWorkers' Compensation

Valente Martinez vs. MESA VERDE PARTNERS DBA COSTA MESA COUNTRY CLUB, AMERICAN CLAIMS MANAGEMENT

Los Angeles
ADJ7810538, ADJ9937931

CompFox AI Summary

This case involves a lien claimant, Dr. Komberg, seeking reconsideration of a decision that disallowed his lien for self-procured medical treatment. The Workers' Compensation Appeals Board (WCAB) is granting reconsideration because the administrative law judge (WCJ) incorrectly disallowed the lien without first making a threshold determination on whether the applicant sustained an industrial injury. The WCAB is rescinding the prior order and returning the matter to the WCJ to determine if there is substantial evidence of an industrial injury and if the treatment provided by Dr. Komberg was reasonable and necessary.

Full Decision Text1 Pages

This case involves a lien claimant, Dr. Komberg, seeking reconsideration of a decision that disallowed his lien for self-procured medical treatment. The Workers' Compensation Appeals Board (WCAB) is granting reconsideration because the administrative law judge (WCJ) incorrectly disallowed the lien without first making a threshold determination on whether the applicant sustained an industrial injury. The WCAB is rescinding the prior order and returning the matter to the WCJ to determine if there is substantial evidence of an industrial injury and if the treatment provided by Dr. Komberg was reasonable and necessary.

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