WCPanelIQ
PanelMed-legalLienGranted

Parveen, Asma

ASMA PARVEEN, Applicant vs. ALCON LABORATORIES; OLD REPUBLIC INSURANCE COMPANY, administered by CONSTITUTION STATE SERVICES, Defendants

ADJ number
ADJ13245796
Decision date
Jun 2, 2024
District office
Long Beach
WCJ
—
Claim administrator
Constitution State Services (administering for Old Republic Insurance Company)
Commissioners
JOSEPH V. CAPURRO, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR, KATHERINE WILLIAMS DODD, COMMISSIONER

Injury / body parts: neck, shoulders, arm, legs, wrist, back, head/headaches, psyche, sleep

LC §4603.2LC §4622LC §4600LC §4903LC §3202.5LC §5705LC §4060LC §4061LC §4062LC §4064LC §4628LC §139.2CCR §9793CCR §9785CCR §10682

Summary

Lien claimant Premier Psychological Services sought reconsideration of a WCJ's F&O that found applicant did not sustain industrial injury, disallowed its lien, and denied its filing fee, penalties, and interest. The WCAB affirmed that the reports of treating psychologist Dr. Mark H. Michaels, Ph.D., were not substantial evidence of injury AOE/COE or of a compensable consequence psyche injury, because they were conclusory and Dr. Michaels improperly assumed orthopedic injuries he was not qualified to diagnose. However, the Board held that because Dr. Michaels was a treating physician who reported on a disputed causation issue in a denied claim, his reports qualified as reimbursable comprehensive medical-legal expenses under Labor Code section 4060. The Board granted reconsideration, rescinded the F&O, and substituted a new Findings and Order allowing the lien as a medical-legal expense in an amount to be adjusted, deferring the issues of amount, penalties, interest, and filing fee with jurisdiction reserved at the trial level.

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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