WCPanelIQ
PanelLienDenied

Barba, Enrique

ENRIQUE BARBA, Applicant vs. PRIME WATERPROOFING and ROOFING and STATE COMPENSATION INSURANCE FUND, Defendants

ADJ number
ADJ6914622
Decision date
Dec 28, 2023
District office
Oxnard
WCJ
—
Claim administrator
State Compensation Insurance Fund
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, JOSEPH V. CAPURRO, COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER

Injury / body parts: back, lumbar spine, lower extremities, psyche, internal body system, nervous system, heart, internal organs, abdomen/groin, hernia, hypertension, sleep disorder, irritable bowel syndrome, GERD, gastritis, opioid induced constipation

LC §4600LC §5705LC §3202.5CCR §10682

Summary

Sleep Treatment Clinics of California, a lien claimant, sought reconsideration of a WCJ's Findings and Order disallowing its lien for self-procured sleep disorder treatment (a consultation report and Oral Sleep Appliance) allegedly provided to applicant Enrique Barba, who sustained a December 8, 2008 industrial injury. The WCJ found the treatment was not reasonably necessary and that the lien claimant failed to meet its burden of proof, noting the records claimed Dr. Schames examined the applicant and performed six procedures on October 24, 2011—the same date applicant was hospitalized for an L5-S1 lumbar fusion surgery. The Appeals Board agreed that Dr. Schames could not have examined applicant on that date and that there was no evidence applicant ever received or used the Oral Sleep Appliance. Because the lien claimant failed to meet its threshold burden of proof, its other procedural arguments were irrelevant. The Board denied reconsideration and affirmed the disallowance of the lien.

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.