WCPanelIQ
PanelMed-legalLienGranted

Koutal, Mahnaz

MAHNAZ KOUTAL, Applicant vs. BERNINI, INC.; TRAVELERS INSURANCE, Defendants

ADJ number
ADJ7968475
Decision date
Jan 25, 2024
District office
Long Beach District Office
WCJ
—
Claim administrator
Travelers Insurance
Commissioners
CRAIG SNELLINGS, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER, ANNE SCHMITZ, DEPUTY COMMISSIONER

Injury / body parts: neck, upper extremities, trunk, lower extremities

LC §4620LC §4621LC §4900LC §5313CCR §10786CCR §9793

Summary

Cost petitioner Supreme Copy, a medical-legal provider (copy service), sought reconsideration of a November 2, 2023 Findings of Fact in which the WCJ held that Supreme Copy could not file a petition for reimbursement under Title 8 CCR § 10786 because it failed to prove the underlying claim was contested under Labor Code § 4620. Supreme Copy argued that the only issue framed at the September 19, 2023 trial was whether it had the right to file a petition for reimbursement under Rule 10786(b), not whether it had met its burden of proof on the merits. The Board agreed, finding that the WCJ improperly decided the merits of the petition without giving the parties notice or an opportunity to present responsive evidence, violating due process. The Board granted reconsideration, rescinded the November 2, 2023 decision, and substituted new findings that Supreme Copy is entitled to file a petition for reimbursement of medical-legal expenses, while deferring the merits of that petition.

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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