Aramark Uniform Service; Ace American Insurance Company Joshua Grossman WORKERS’ COMPENSATION APPEALS BOARDSTATE OF CALIFORNIAJOSHUA GROSSMAN, Applicant,vs. ARAMARK UNIFORM SERVICE; ACEAMERICAN INSURANCE COMPANY, Defendants,SAN JOAQUIN ACCIDENT & MEDICALGROUP, Lien ClaimantCase No. ADJ2401554 (FRE 023126)OPINION AND ORDER DENYING PETITION FOR RECONSIDERATION Defendant seeks reconsideration of our earlier January 7, 2013 Opinion and Order Granting Reconsideration and Decision After Reconsideration (January 7, 2013 Decision) wherein we granted the petition of lien claimant San Joaquin Accident & Medical Group (SJAMG) for reconsideration of the October 4, 2012 Findings Of Fact And Order of the workers’ compensation administrative law judge (WCJ) who denied SJAMG’s lien claim based upon his findings that the treatment it provided applicant was “outside of defendant’s MPN [Medical Provider Network],” that defendant “timely and properly objected” to the treatment provided by lien claimant, that the treatment was “unauthorized self-procured medical treatment for which defendant is not liable,” and that defendant “met its burden of proof that it established a valid MPN” and “duly notified applicant and lien claimant” of the MPN and that “treatment by lien claimant was not authorized.”1////// 1 Applicant’s claim of industrial injury to his low back while employed as a route driver by Aramark Uniform Services on October 24, 2006, was earlier addressed by entry of a stipulated award on August 6, 2008. , Defendant contends that the January 7, 2013 Decision was in error because applicant was properly transferred into its MPN, and lien claimant did not meet its burden of proving that the medical treatment it provided was reasonable. An answer was received from SJAMG. We have carefully re-reviewed the record, defendant’s petition and our January 7, 2013 Decision. For the reasons expressed in our January 7, 2013 Decision, which is inco
Joshua Grossman vs. Aramark Uniform Service Case Overview
In this case, Joshua Grossman, an employee of Aramark Uniform Service, was injured while on the job and was referred for medical treatment to Concentra. After surgery was performed on his back in January 2007, the doctor declared his condition to be permanent and stationary in May 2007, and released him from treatment. Grossman then sought additional medical treatment from Charles Lewis, M.D., which was not authorized by Aramark. Aramark argued that they had properly notified Grossman of their Medical Provider Network (MPN) and that the treatment provided by Lewis was not authorized. The Workers' Compensation Appeals Board denied Aramark's petition for reconsideration, finding that Aramark had failed to provide Grossman with sufficient information and assistance to obtain a new
- Filed On:
- Court: California, Fresno
- Case No. ADJ2401554
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