WCPanelIQ
PanelLienDenied

Darnella Scott Street — ADJ7390255

DARNELLA SCOTT STREET, Applicant vs. SAN FRANCISCO BAY AREA RAPID TRANSIT DISTRICT; permissibly self-insured, adjusted by ATHENS ADMINISTRATORS, Defendants

ADJ number
ADJ7390255
Decision date
Jan 2, 2023
District office
Oakland
WCJ
Therese Da Silva
Claim administrator
Athens Administrators (TPA for permissibly self-insured San Francisco Bay Area Rapid Transit District)
Commissioners
—

Injury / body parts: left knee

Summary

Applicant Darnella Scott Street sustained a left knee injury on January 19, 2010 while employed by BART, and underwent total knee replacement surgery in 2015. Lien claimant Electronic Waveform Labs (EWL) sought payment for an H-Wave stimulator unit provided to applicant after surgery and during physical therapy. BART, permissibly self-insured and administered by Athens Administrators, contested the lien, arguing EWL had not met its burden to prove the H-Wave unit was reasonably required and that the supporting documentation was not substantial medical evidence. The WCJ found EWL met its burden, relying on the treating physician's PR-2 equivalent reports, physical therapy notes showing applicant felt more relief with the H-Wave than TENS, and the AME's opinion endorsing interferential stimulation as superior to TENS. The WCAB adopted and incorporated the WCJ's report and denied reconsideration.

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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