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PanelQMEMed-legalLienGranted

Lezama, Martha

MARTHA LEZAMA, Applicant vs. KELLERMEYER BERGENSONS SERVICES; ZURICH INSURANCE, as administered by GALLAGHER BASSETT, Defendants

ADJ number: ADJ8656214
Decision date: Dec 12, 2024
District office: Santa Ana
WCJ: —
Claim administrator: Gallagher Bassett (administering Zurich Insurance)
Commissioners: JOSÉ H. RAZO, COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR

Injury / body parts: back, arm, nervous system, psyche

LC §5950LC §5909LC §5900LC §3205.5LC §5705.5LC §4622LC §4620LC §4621LC §5903LC §5952LC §5701LC §5906LC §5907LC §5908LC §5908.5LC §5803LC §5901CCR §10600CCR §10803

Summary

Cost petitioner Supreme Copy Service, Inc. sought reconsideration of a WCJ's September 9, 2024 Findings of Fact and Order that found Supreme failed to meet its burden of proof for recovering medical-legal copy service charges ($887.19) and ordered it take nothing. Supreme provided copies of Dr. Ronald Lopez's medical records on September 6, 2013, asserting the claim was already contested at that time and the services were reasonable and necessary discovery. The WCAB found it unclear from the record why the WCJ concluded there was insufficient evidence of a contested claim, noting that Dr. Berg's QME report was already admitted as part of the basis for the approved C&R under WCAB Rule 10803(b). The Board granted reconsideration to further review whether the legal issues were properly identified, whether the record supports the WCJ's conclusions, and whether further development of the record is needed.

Issues

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Holding

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Analysis

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Applicant takeaway

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Defense takeaway

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Provider takeaway

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Similar decisions

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Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.