Applicant Luis Hernandez had an admitted specific injury (left shoulder, lumbar spine) and a separately filed cumulative trauma claim that defendant denied. Following lien trials, the WCJ found an industrial cumulative trauma injury and an industrial dental injury, allowed the Dental Trauma Center's lien (because the UR deferral letter was not properly served on the applicant), and ordered retrospective utilization review of RFAs from North Valley Health Center, Edwin Haronian, M.D., and the interpreter Alfonso Garate. Defendant petitioned for reconsideration, arguing the QME (Dr. Vangsness) was the only substantial medical evidence and disputing the dental injury finding. The Board granted reconsideration solely to correct a clerical error—removing the Dental Trauma Center from the retrospective UR order (inconsistent with the separate order allowing its lien)—and otherwise adopted and affirmed the WCJ's report. The Board also addressed timeliness under amended Labor Code section 5909, finding it acted within 60 days of transmission.
Issues
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Holding
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Analysis
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Applicant takeaway
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Defense takeaway
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Provider takeaway
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Similar decisions
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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