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PanelQMEMed-legalDenied

Chen, Matilde

MATILDE CHEN, Applicant vs. PARTNERS PERSONNEL MANAGEMENT SERVICES, LLC; STAR INSURANCE administered by CORVEL, Defendants

ADJ number: ADJ15809866
Decision date: Apr 17, 2024
District office: Los Angeles
WCJ: —
Claim administrator: CorVel (administering for Star Insurance)
Commissioners: KATHERINE A. ZALEWSKI, CHAIR, KATHERINE WILLIAMS DODD, COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER

Injury / body parts: head, eyes, psyche (stress)

LC §5900LC §5902LC §5903CCR §31.7CCR §10955

Summary

Defendant sought reconsideration of a February 22, 2024 F&O in which the WCJ found good cause for additional QME panels in ophthalmology, neurology, and psychiatry based on orthopedic QME Dr. Joanne Halbrecht's recommendation that applicant's claimed injuries to the head, eyes, and stress fell outside her area of expertise. Defendant argued the reliability of Dr. Halbrecht's reporting was undermined because applicant received interpretation in Spanish rather than her native Q'eqchi. The Board determined the F&O was a hybrid decision but that defendant only challenged an interlocutory issue (procurement of additional medical-legal evidence), so it applied the removal standard rather than reconsideration. The Board found no substantial prejudice or irreparable harm and held the interpretation issue did not change the fact that applicant alleged injuries the orthopedic QME could not address. The Petition was denied.

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.