WCPanelIQ
PanelMed-legalLienGranted in Part

Aurelio Vazquez — ADJ9729146, ADJ8641717

AURELIO VAZQUEZ, Applicant vs. AURA SYSTEMS; STATE COMPENSATION INSURANCE FUND, Defendants

ADJ number
ADJ9729146, ADJ8641717
Decision date
Oct 10, 2022
District office
Oxnard
WCJ
—
Claim administrator
State Compensation Insurance Fund
Commissioners
MARGUERITE SWEENEY, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER
LC §4622

Summary

Lien claimant Med-Legal, LLC and defendant State Compensation Insurance Fund (SCIF) each petitioned for reconsideration of a WCJ's July 21, 2021 Joint Findings and Award, which awarded Med-Legal reimbursement for three subpoenaed-records invoices (with penalty and interest, less credits) but disallowed invoices related to the SCIF claims file. Med-Legal argued the WCJ erred in disallowing the claims-file invoices as not reasonably, actually, and necessarily incurred; SCIF argued the lien claimant failed to meet its burden of proof and that it need not provide proofs of service for each EOB to prove timeliness. After granting reconsideration, the Board sent the parties to a commissioners' settlement conference, where they agreed to resolve the lien for $1,000.00 in new money in full and final satisfaction of a claimed balance of $5,988.11. The Board rescinded the WCJ's July 21, 2021 Joint Findings and Award and approved the parties' September 29, 2022 stipulation.

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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