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PanelQMEMed-legalDismissed

Ali, Alya

ALYA ALI, Applicant vs. CEDARS-SINAI MEDICAL CENTER; self-insured, administered by BETA HEALTHCARE GROUP ROSEVILLE, Defendants

ADJ number: ADJ18784660
Decision date: Nov 17, 2024
District office: Santa Ana
WCJ: —
Claim administrator: BETA Healthcare Group Roseville (administrator for self-insured Cedars-Sinai Medical Center)
Commissioners: CRAIG SNELLINGS, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR, JOSÉ H. RAZO, COMMISSIONER

LC §5909LC §5900LC §5702LC §5902LC §5903CCR §10600CCR §10955

Summary

Applicant Alya Ali, employed by Cedars-Sinai Medical Center (self-insured), filed a Petition for Reconsideration and/or Removal challenging the WCJ's Order regarding selection of a Qualified Medical Evaluator (QME). The Board first addressed timeliness under amended Labor Code section 5909, concluding it timely acted within 60 days of the September 18, 2024 transmission. On the merits, the Board found the QME selection order to be an interlocutory procedural/evidentiary decision rather than a final order, so reconsideration was unavailable. The Board also denied removal because applicant failed to show substantial prejudice or irreparable harm and noted there is an established procedure for having all disputed body parts evaluated. The petition was dismissed as to reconsideration and denied as to removal.

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.

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.

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.