WCPanelIQ
PanelLienGranted in Part

Perez, Idalia

IDALIA PEREZ, Applicant vs. FOREVER 21; ACE AMERICAN INSURANCE COMPANY, Defendants

ADJ number
ADJ11447255
Decision date
Feb 2, 2025
District office
Los Angeles
WCJ
—
Claim administrator
ACE American Insurance Company
Commissioners
—

Injury / body parts: back, shoulders, knee

LC §5909LC §5900

Summary

Lien claimant Optimal Health Medical Center sought reconsideration of a WCJ's November 4, 2024 Joint Findings and Award finding that applicant Idalia Perez sustained industrial injury to her back, shoulders, and knee but limiting reimbursable treatment to the period November 9, 2018 through September 10, 2019 and finding that none of the acupuncture provided by Stanley S. Wong, LAc, OMD was reasonably required. The Board granted reconsideration, noting that defendant had previously conceded six acupuncture sessions were reasonable, and amended the decision to find that applicant reasonably required some acupuncture treatment from Mr. Wong while deferring the issue of reasonable frequency and duration to the trial level. The Board otherwise affirmed the WCJ's decision, including the finding that defendant regained MPN medical control as of September 10, 2019 by operation of an order directing applicant to select an MPN physician. The Board also addressed timeliness under amended Labor Code section 5909, concluding it acted within 60 days of case transmission.

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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