WCPanelIQ
PanelQMEDenied

Alisa Onruang — ADJ10793479

ALISA ONRUANG, Applicant vs. UCLA, legally uninsured, Defendants

ADJ number
ADJ10793479
Decision date
Dec 13, 2021
District office
Van Nuys
WCJ
—
Claim administrator
UCLA (legally uninsured / self-insured)
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, CRAIG SNELLINGS, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER

Injury / body parts: neck, upper extremities, mid-back, low back, eyes, face, headaches, psyche

LC §4600LC §4604LC §4610LC §4610.5LC §4610.6LC §5300LC §5301LC §5304LC §5307.27LC §3207LC §3209.3LC §3202.5LC §5705LC §5904CCR §31.7CCR §35.5CCR §9792.10.3CCR §9792.20

Summary

Applicant, a registered nurse who injured her neck (and claimed other body parts) while working for UCLA in 2016, sought transportation services with an assistant to facilitate her activities of daily living because her industrial injuries left her unable to drive or use public transportation safely. Defendant's UR physician expressly declined to address medical necessity, calling transportation outside the scope of UR, and the AD's IMR unit rejected applicant's IMR request as ineligible. The WCJ found the WCAB had jurisdiction to decide the transportation issue and that applicant needed the transportation, and defendant sought removal. The Appeals Board treated the petition as one for reconsideration (because jurisdiction is a threshold/final issue) and affirmed. The Board held that because both UR and IMR declined to address the request, the WCAB retained jurisdiction under sections 5300, 5304, and 4604, and that substantial medical evidence established the need for non-medical transportation as a form of medical treatment under section 4600.

Issues

Member is $25/month or $250/year and includes full case search.

Holding

Member is $25/month or $250/year and includes full case search.

Analysis

Member is $25/month or $250/year and includes full case search.

Applicant takeaway

Member is $25/month or $250/year and includes full case search.

Defense takeaway

Member is $25/month or $250/year and includes full case search.

Provider takeaway

Member is $25/month or $250/year and includes full case search.

Similar decisions

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.