WCPanelIQ
PanelQMEMed-legalGranted

Noble, Novella

NOVELLA NOBLE, Applicant vs. ASCENA RETAIL GROUP, INC.; SAFETY NATIONAL CASUALTY CORP., administered by SEDGWICK CLAIMS MANAGEMENT SERVICES, Defendants

ADJ number
ADJ13490319
Decision date
Mar 5, 2024
District office
Riverside
WCJ
—
Claim administrator
Sedgwick Claims Management Services (administering Safety National Casualty Corp.)
Commissioners
—

Injury / body parts: right knee, right lower extremity

LC §5313LC §5303LC §5412LC §5401LC §5813LC §4062.3LC §4064CCR §35.5

Summary

Applicant Novella Noble initially filed a cumulative trauma claim (ADJ11233436) to the right knee, was evaluated by orthopedic QME Dr. Uppal who attributed her condition to a specific injury rather than cumulative trauma, and then dismissed that CT claim with prejudice while simultaneously filing a new specific injury claim (ADJ13490319) and requesting a new QME panel in pain medicine. The WCJ found applicant was not entitled to a new QME. On reconsideration, the Appeals Board applied its en banc decision in Navarro v. City of Montebello and held that the Labor Code permits a new QME evaluator for each injury reported on a separate claim form, so applicant was entitled to a new QME. The Board rescinded the F&A and substituted a finding that applicant need not return to Dr. Uppal and is entitled to a new QME evaluation. The Board noted an appearance of impropriety but found the record insufficient to determine bad faith, deferring the issues of costs and sanctions for further development.

Issues

Member is $25/month or $250/year and includes full case search.

Holding

Member is $25/month or $250/year and includes full case search.

Analysis

Member is $25/month or $250/year and includes full case search.

Applicant takeaway

Member is $25/month or $250/year and includes full case search.

Defense takeaway

Member is $25/month or $250/year and includes full case search.

Provider takeaway

Member is $25/month or $250/year and includes full case search.

Similar decisions

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.