Thor of California, Permissibly Self-Insured, Administered by Cambridge Integrated Services Candida Montiel WORKERS’ COMPENSATION APPEALS BOARDSTATE OF CALIFORNIACANDIDA MONTIEL, Applicant,vs.THOR OF CALIFORNIA, Permissibly Self-Insured, Administered by CAMBRIDGEINTEGRATED SERVICES, Defendant(s).Case No. AD32506800 (VNO 0481347),ADJ2668930 (VNO 0540303)OPINION AND ORDER GRANTING RECONSIDERATION AND DECISIONAFTER RECONSIDERATION Lien claimant, Bloch Medical Clinic (“petitioner”), seeks reconsideration of the Findings and Order of February 16, 2010, in which the workers’ compensation judge (WCJ) found that “Bloch Medical Clinic is not entitled to benefits, as they are duplicate medical-legal and treatment services.” Pursuant to these findings, the WCJ ordered that petitioner take nothing. Petitioner contends, in substance, that its medical-legal report dated September 12, 2005, authored by Dr. Procci in conjunction with Dr. Kauss, was requested by applicant’s attorney and is a valid psychiatric medical-legal report authorized by Labor Code section 4062(a), that the report is not duplicative of the treatment reports issued by Dr. Evans and Dr. Shahin, of Universal Psychiatric Medical Center, and that the WCJ erred in finding the report worthless due to an allegedly inaccurate history. It appears that defendant did not file an answer. The WCJ’s Opinion on Decision provides the following explanation for his decision: “Applicant filed the above two cases claiming the same injury to her head, neck, psyche and stress caused by a specific injury on 6/11/03 and a continuous trauma from 6/11/02 to 6/11/03. , “The matter was resolved on 7/11/08 by Compromise and Release for ten thousand dollars ($10,000.00) with a Thomas Finding. “This matter was set for hearing on the bill and lien of Bloch Medical Clinic in the amount of $2,254.10. No testimony was provided to prove injury in this matter and lien claimant has not overco
Candida Montiel vs. Thor Of California, Permissibly Self-Insured, Administered By Cambridge Integrated Services
This case involves a lien claimant, Bloch Medical Clinic, seeking reconsideration of a decision by a workers' compensation judge that found that Bloch Medical Clinic was not entitled to benefits as they were duplicate medical-legal and treatment services. The workers' compensation appeals board granted reconsideration and determined that defendant was liable for the expense of Bloch Medical Clinic's medical-legal reports, and that the exact amount of reimbursement should be adjusted by the parties or determined by the WCJ absent adjustment.
- Filed On:
- Court: California, Van Nuys
- Case No. ADJ2506800
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