WCPanelIQ
PanelLienRemanded

Coronado, Phyllis Felicit

PHYLLIS FELICIT CORONADO, Applicant vs. COUNTY OF LOS ANGELES – DEPARTMENT OF PUBLIC SOCIAL SERVICES, permissibly self-insured, administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, Defendants

ADJ number
ADJ8270157
Decision date
Jan 28, 2025
District office
Los Angeles
WCJ
—
Claim administrator
Sedgwick Claims Management Services
Commissioners
KATHERINE WILLIAMS DODD, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER

Summary

Applicant Phyllis Felicit Coronado filed a Petition for Reconsideration of the WCJ's May 14, 2024 Findings of Fact and Order, which found that a January 18, 2018 RFA by Dr. Ahmed for home health care was not timely denied by UR (preserving WCAB jurisdiction), found HHC reasonable and necessary only from January 18, 2018 through June 27, 2019, and disallowed lien claimant Lucila Alfaro's lien for HHC services and related attorney fees. Applicant argued the HHC should continue indefinitely, that Patterson placed the burden on defendant to prove HHC was no longer needed, and that disallowing the Alfaro lien violated due process. The Board issued an interim non-final order granting the petition and encouraged mediation. The parties reached a proposed Compromise and Release and requested return to the trial level. The Board rescinded the May 14, 2024 Findings and Order and remanded the matter to the WCJ to consider the C&R, without ruling on the merits.

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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