WCPanelIQ
PanelQMEMed-legalRemanded

Melero, Adrian

ADRIAN MELERO, Applicant vs. MTS/SAN DIEGO TRANSIT CORPORATION, permissibly self-insured, administered by CORVEL CORPORATION, Defendants

ADJ number
ADJ17006634
Decision date
Nov 4, 2024
District office
San Diego
WCJ
—
Claim administrator
CorVel Corporation (administering for MTS/San Diego Transit Corporation, permissibly self-insured)
Commissioners
KATHERINE WILLIAMS DODD, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER

Injury / body parts: head, shoulder, ear, neck, hands, wrists, arms, knee, back

LC §5909LC §5900LC §5901LC §5902LC §5903LC §4062.3LC §4064LC §5401LC §5952LC §5952CCR §10955CCR §10803CCR §10945CCR §10205.4

Summary

Applicant Adrian Melero, a train operator, claimed two injuries: a December 23, 2021 specific injury (head, shoulder, ear, neck) and a cumulative injury from December 20, 1996 through December 23, 2021 (hands, wrists, arms, knee, back). An orthopedic QME panel (Dr. Schiffman) was obtained for the specific injury, with evaluation on December 9, 2022. On March 17, 2023, applicant requested a separate chiropractic QME panel for the cumulative claim, which the WCJ allowed. Defendant petitioned for reconsideration/removal, arguing under Navarro that both claims filed before the QME exam must go to the same QME. The Board dismissed the petition for reconsideration (the order being interlocutory), granted it as a petition for removal, rescinded the F&O, and remanded because the claim forms were never admitted into evidence, making it impossible to determine the operative filing dates necessary to apply Navarro.

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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