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PanelDenied

Wang, Alex

ALEX WANG, Applicant vs. JM MANUFACTURING COMPANY, INC., dba JM EAGLE MANUFACTURING COMPANY; LIBERTY MUTUAL INSURANCE, Defendants

ADJ number: ADJ14083898
Decision date: Date unavailable
District office: Pomona
WCJ: Amy Britt
Claim administrator: Liberty Mutual (administering for Starr Indemnity and Liability Company)
Commissioners: —

Injury / body parts: psyche, bilateral upper extremities, right shoulder/upper arm (traumatic amputation)

LC §4610LC §4610.5LC §4600LC §4604.5LC §5813CCR §10421CCR §9792.9.1CCR §10972

Summary

Applicant Alex Wang, a maintenance technician, sustained an industrial injury on December 23, 2020, to his psyche and bilateral upper extremities, including a traumatic amputation and PTSD. His treating physician submitted an RFA for a permanent home relocation to a single-story home in Rancho Cucamonga to accommodate his orthopedic injuries and address PTSD triggered by living next to the accident site. Defendant's own Utilization Review provider certified the request as medically necessary, but defendant then objected (16 days after the RFA) and contested liability at trial. The WCJ found defendant must comply with its own UR authorization, and the WCAB denied reconsideration, adopting the WCJ's report. The Board declined to impose sanctions for the Petition but reminded defendant that frivolous filings could subject it to sanctions and noted the WCJ could consider trial-level sanctions in the first instance.

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.