WCPanelIQ
PanelQMEGranted in Part

Fregoso, Audrianna Margarita

AUDRIANNA MARGARITA FREGOSO, Applicant vs. LOMA LINDA UNIVERSITY HEALTH CARE; LOMA LINDA UNIVERSITY, PSI and Self-Administered through RISK MANAGEMENT, Defendants

ADJ number
ADJ16181022
Decision date
Date unavailable
District office
San Bernardino
WCJ
Myrle R. Petty
Claim administrator
Loma Linda University, PSI and Self-Administered through Risk Management
Commissioners
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Injury / body parts: left shoulder, cervical spine

LC §5402LC §5401LC §3600LC §3600(a)(10)

Summary

Applicant, a medical assistant/scribe for Loma Linda University Medical Center, claimed a specific injury on March 30, 2022 to her left shoulder and cervical spine. The WCJ found the claim presumed compensable under Labor Code section 5402 because defendant failed to submit any evidence of a timely denial, and rejected defendant's post-termination defense under section 3600(a)(10). Defendant petitioned for reconsideration. The WCAB granted reconsideration to amend the findings to expressly include a finding of injury AOE/COE to the left shoulder and cervical spine based on the QME/treating physician's substantial medical evidence, while otherwise affirming the WCJ's determinations. The Board agreed there was no timely denial, that the post-termination defense failed for lack of actual notice of termination, and gave great weight to the WCJ's credibility determinations.

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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