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PanelMed-legalLienGranted in Part

Zepeda, Kathleen

KATHLEEN ZEPEDA, Applicant vs. CALIFORNIA BAPTIST UNIVERSITY; CALIFORNIA RESTAURANT MUTUAL BENEFIT CORPORATION, administered by LWP CLAIMS SOLUTIONS, Defendants

ADJ number: ADJ17068636
Decision date: May 18, 2025
District office: Riverside
WCJ: —
Claim administrator: LWP Claims Solutions
Commissioners: CRAIG SNELLINGS, COMMISSIONER, LISA A. SUSSMAN, DEPUTY COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER

Injury / body parts: abdomen, back, lower extremities

LC §5909LC §5900LC §3202.5LC §5705LC §4620LC §4621LC §4622LC §4064LC §4060LC §4062.2CCR §10964CCR §10600

Summary

Lien claimant Medland Medical Group and defendant both sought reconsideration of a February 19, 2025 Findings and Award. The WCJ found that Medland was entitled to reimbursement for medical-legal costs associated with the PTP's April 26, 2023 comprehensive medical-legal report, but denied reimbursement for medical treatment costs because lien claimant failed to establish injury AOE/COE. The Board denied defendant's petition (affirming the medical-legal cost award), and granted lien claimant's petition only for the limited purpose of amending the Findings of Fact to expressly state that lien claimant did not meet its burden of establishing AOE/COE. The Board affirmed that the report was a valid medical-legal expense incurred to address a contested claim, while agreeing lien claimant failed to prove industrial injury given inconsistent medical history and undisclosed prior injuries.

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.

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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.