Aramark Uniform Service; Ace American Insurance Company Joshua Grossman WORKERS’ COMPENSATION APPEALS BOARDSTATE OF CALIFORNIAJOSHUA GROSSMAN, Applicant,vs.ARAMARK UNIFORM SERVICE; ACE AMERICAN INSURANCE COMPANY, Defendants,SAN JOAQUIN ACCIDENT & MEDICAL GROUP, Lien ClaimantCase No. ADJ2401554 (FRE 023126) OPINION AND ORDER GRANTING PETITION FOR RECONSIDERATION AND DECISION AFTER RECONSIDERATION Lien claimant San Joaquin Accident & Medical Group (SJAMG) seeks reconsideration of the October 4, 2012 Findings Of Fact And Order of the workers’ compensation administrative law judge (WCJ) who found that treatment provided to applicant by lien claimant 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.” With these findings, the WCJ ordered that lien claimant take nothing on its claim. 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. Lien claimant contends that defendant failed to prove that it had a valid MPN, that defendant neglected or refused to provide applicant with reasonable medical treatment in its MPN, and that the WCJ incorrectly concluded that defendant is not liable for medical treatment self-procured by applicant. , An answer was received from defendant and the WCJ provided a Report and Recommendation on Petition for Reconsideration (Report) recommending that reconsideration be denied. Reconsideration is granted and the October 4, 2012 decision of the
Joshua Grossman vs. Aramark Uniform Service; Ace American Insurance Company
- Filed On:
- Court: California, Fresno
- Case No. ADJ2401554
To continue reading ... start a FREE Trial for 10 days
Discover the cases you didn’t know you were missing!
Copyright © 2023 - CompFox Inc.