WCPanelIQ
PanelIBRLienGranted

Darby, Clayton

CLAYTON DARBY, Applicant vs. GOLDEN VISTA CONSTRUCTION INC.; SECURITY NATIONAL INSURANCE COMPANY; AMTRUST, Defendants

ADJ number
ADJ10237626
Decision date
Apr 12, 2023
District office
Riverside
WCJ
—
Claim administrator
AmTrust (administering Security National Insurance Company)
Commissioners
JOSEPH V. CAPURRO, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR, NATALIE PALUGYAI, COMMISSIONER

Injury / body parts: teeth/dental

LC §5313

Summary

Lien claimant The Dental Trauma Center provided dental treatment to applicant Clayton Darby and disputed the WCJ's February 9, 2023 Findings and Order, which found the treatment reasonable and necessary but referred the determination of charges to a court-appointed Independent Bill Reviewer, Sue Choi of QMBR Consulting Inc. The lien claimant petitioned for reconsideration, arguing that Choi was a 'defense bill reviewer' with a conflict of interest who would cause irreparable harm. After granting reconsideration, the Board directed the parties to a commissioners' settlement conference, where they reached a stipulation to resolve the lien for $15,250.00 with penalties and interest waived. The Board approved the stipulation and rescinded the WCJ's prior Findings and Order, commending the parties for resolving the matter without further litigation.

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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