WCPanelIQ
PanelQMEMed-legalDenied

Larson, Kyle

KYLE LARSON, Applicant vs. SOLVENTUM US, LLC; OLD REPUBLIC INSURANCE, administered by SEDGWICK CLAIMS MANAGEMENT, Defendants

ADJ number
ADJ20798821
Decision date
Feb 5, 2026
District office
Santa Ana
WCJ
—
Claim administrator
Sedgwick Claims Management Services (administering for Old Republic Insurance)
Commissioners
ANNE SCHMITZ, DEPUTY COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER

Injury / body parts: head, facial fracture, nasal fracture, collar bone, ribs, eyes, ears, neck, chest, shoulder, abdomen, back, right arm, right elbow, right wrist, legs, memory loss, psyche, wrists, knees, heels, feet, dry skin, gastrointestinal pain, hearing loss, lungs

LC §4060LC §4061LC §4062LC §4062.2LC §4062.3LC §4064LC §5900LC §5902LC §5903LC §5909CCR §30CCR §10517CCR §10945CCR §10955

Summary

Applicant Kyle Larson filed two consolidated claims: an accepted specific injury (SI) claim (ADJ20798822) from a February 28, 2025 ladder fall, and a denied cumulative trauma (CT) claim (ADJ20798821) for August 30, 2023 to August 30, 2024. Both parties requested QME panels; defendant's orthopedic panel request (7821226) was first in time but listed the SI claim number and date of injury rather than the CT claim's, and relied on a UR deferral letter referencing the SI date of injury. The WCJ found the panel valid, treating the claim number error as a clerical/typographical mistake, and found the supporting letter clearly referred to the denied CT claim. The Board, applying the removal standard since the challenged QME validity finding was interlocutory, denied reconsideration. Relying on Navarro, the Board reasoned that because both claim forms predated the panel requests, the same QME would evaluate both injuries regardless of which claim number defendant listed, rendering the error harmless.

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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