WCPanelIQ
PanelQMEMed-legalGranted

Magdaleno, Graciela

GRACIELA MAGDALENO, Applicant vs. INTERNATIONAL PAPER; OLD REPUBLIC INSURANCE COMPANY, Defendants

ADJ number
ADJ13569546
Decision date
Jul 21, 2024
District office
Salinas
WCJ
—
Claim administrator
Old Republic Insurance Company
Commissioners
JOSEPH V. CAPURRO, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR, CRAIG SNELLINGS, COMMISSIONER

Injury / body parts: neck, left shoulder, right wrist

LC §139.2LC §4060LC §4061LC §4062LC §4062.1LC §4062.2LC §4906LC §5900LC §5902LC §5903CCR §10955

Summary

Applicant Graciela Magdaleno sustained an accepted specific injury on April 30, 2019 (ADJ13569546) and also had a claimed cumulative trauma claim up to April 30, 2019 (ADJ17558358). On July 5, 2023, defendant denied the cumulative trauma claim and provided a QME panel request form but failed to check the box explaining the unrepresented panel process. On July 21, 2023, defendant obtained an orthopedic QME panel as a represented panel even though applicant was still unrepresented; applicant became represented on July 28, 2023 and requested a chiropractic QME panel, which the Medical Unit denied. The WCJ found all panels invalid; on reconsideration the Board, applying the removal standard, found defendant's orthopedic panel request invalid and applicant's chiropractic panel request valid.

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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