CompFox AI Summary
The Workers' Compensation Appeals Board granted reconsideration and reversed the Administrative Law Judge's (ALJ) order compelling the employer to authorize out-of-network shoulder surgery. The Board found insufficient evidence that the employer denied, refused, or neglected to provide reasonable treatment for the applicant's left shoulder within its Medical Provider Network (MPN). Therefore, the employer is not liable for the self-procured treatment sought by the applicant outside the MPN.
ZULEMA MIRANDA vs. ARAMARK, permissibly self-insured is a workers' compensation case decided in Marina Del Rey. 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 Marina Del Rey.
Full Decision Text1 Pages
The Workers' Compensation Appeals Board granted reconsideration and reversed the Administrative Law Judge's (ALJ) order compelling the employer to authorize out-of-network shoulder surgery. The Board found insufficient evidence that the employer denied, refused, or neglected to provide reasonable treatment for the applicant's left shoulder within its Medical Provider Network (MPN). Therefore, the employer is not liable for the self-procured treatment sought by the applicant outside the MPN.
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