Taiko Foods, Inc. And Tokio Marine And Nichido Fire Insurance Maria Rosenda Munoz WORKERS-COMPENSATION APPEALS BOARDSTATE OF CALIFORNIAMARIA ROSENDA MUNOZ, Applicant,vs.TAIKO FOODS, INC. and TOKIO MARINE AND NICHIDO FIRE INSURANCE, Defendant(s).Case No. ADJ2326195OPINION AND ORDER GRANTING PETITION FOR RECONSIDERATION AND DECISION AFTER RECONSIDERATION Lien claimant Mark L. Duell, Sr, D.C. (hereafter “lien claimant” or “petitioner”), seeks reconsideration of the Findings of Fact and Order issued by a workers compensation administrative law judge (WCJ) on June 7, 2010. wherein the WCJ found that applicant, while employed as a kitchen worker on January 25, 2005, sustained admitted industrial injury’ to her cervical and lumbar spine. As relevant here, the WCJ further found that petitioner had not established prima facie case of entitlement to additional payment for chiropractic treatments (including nerve conduction studies and supplies), work conditioning and acupuncture during the period from February 10, 2005 through May 5, 2005. The WCJ further found that lien claimant had been paid the sum of $5.832.89 for approximately 42 dates of service and that the additional payment sought by petitioner was in the amount of S5,096.31 for another 26 dates of service. Applicant’s underlying claim was resolved by way of Compromise and Release in the amount of $15,000.00. which was approved on August 30, 2006. , Lien claimant contends that the WCJ erred in ordering that lien claimant take nothing on its lien where the Qualified Medical Evaluator (QME), Todd Anderson, D.C., opined that lien claimant’s treatment was reasonable and necessary, and his report, which was served on petitioner at the time of trial, constitutes substantial evidence on which the WCJ should have relied. Petitioner further argues that the repons of Alan Moelleken, M.D., during lien claimant’s treatment , from February 10, 2005 through May 5, 2005, note that applicant repo
Maria Rosenda Munoz vs. Taiko Foods, Inc. And Tokio Marine and Nichido Fire Insurance
Maria Rosenda Munoz v. Taiko Foods, Inc. and Tokio Marine and Nichido Fire Insurance was a case in which lien claimant Mark L. Duell, Sr., D.C. sought reconsideration of a decision by a workers compensation administrative law judge (WCJ) that denied additional payment for chiropractic treatments, work conditioning, and acupuncture. The WCJ found that lien claimant had not established a prima facie case of entitlement to additional payment. The Workers' Compensation Appeals Board granted the Petition for Reconsideration and rescinded the WCJ's decision, returning the matter to the trial level for clarification of the record and further proceedings.
- Filed On:
- Court: California, San Francisco
- Case No. ADJ2326195
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