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PanelLienGranted

Rodriguez, Felisa

FELISA RODRIGUEZ, Applicant vs. BUILDING CARE SYSTEMS; STATE COMPENSATION INSURANCE FUND, Defendants

ADJ number: ADJ9258442
Decision date: Date unavailable
District office: Santa Rosa
WCJ: —
Claim administrator: State Compensation Insurance Fund
Commissioners: JOSEPH V. CAPURRO, COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER

Injury / body parts: head, back, digestive/GERD

LC §4610LC §5903LC §5952LC §5701LC §5906CCR §9792.9.1

Summary

Felisa Rodriguez sustained an industrial injury on September 13, 2013 to her head, back, and digestive/GERD while working as a maintenance worker for Building Care Systems, and the case settled by Stipulations in 2019. Integrated Pain Care San Francisco subsequently filed a lien for $55,352.10 for treatment by Dr. Martinovsky, the bulk of which stemmed from a Functional Restoration Program. The WCJ found that defendant's UR decisions were timely and that the lien claimant had been fully compensated for certified services, denying the lien. On reconsideration, the WCAB found the record inadequate because there was conflicting evidence about the actual time the RFA was transmitted/received on December 30, 2015, with no testimony or other evidence interpreting the facsimile transmission report. The Board granted reconsideration, rescinded the June 22, 2023 Findings and Order, and returned the matter to the trial level for further proceedings and a new decision.

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.