WCPanelIQ
PanelMed-legalIBRLienGranted

Gerardo Perez — ADJ10496049, ADJ6613623

GERARDO PEREZ, Applicant vs. PARTY PRONTO INC.; PENNSYLVANIA MANUFACTURERS, administered by ILLINOIS MIDWEST, Defendants

ADJ number
ADJ10496049, ADJ6613623
Decision date
Oct 11, 2021
District office
Los Angeles
WCJ
William M. Carero
Claim administrator
Illinois Midwest (administering Pennsylvania Manufacturers)
Commissioners
—

Injury / body parts: bilateral shoulders, lumbar spine, cervical spine

LC §4620LC §4621LC §5307.9LC §5313

Summary

Defendant and lien claimant California Imaging Solutions (CIS) sought reconsideration of a July 26, 2021 Joint Findings, Award and Order in which the WCJ found CIS entitled to reimbursement on its copy-service lien (medical-legal in nature) and disallowed the liens of Comprehensive Outpatient Surgery Center and Technical Surgery Support. Defendant argued the lien of Dental Trauma Center should also be disallowed consistent with the WCJ's finding that applicant suffered no dental injury, and that CIS's services were not reasonable or necessary. The Board found the issues regarding CIS's lien were never clearly defined and that Finding of Fact 7 ('reasonably necessary medical-legal services') was ambiguous and unsupported by record citations, deviating from Labor Code section 4621(a). The Board granted reconsideration, amended the decision to disallow the Dental Trauma Center lien, rescinded the award, and deferred the reasonableness and necessity issues regarding CIS to the trial level with jurisdiction reserved. The Board emphasized that for pre-July 1, 2015 copy services there is no applicable fee schedule and provided guidance under Colamonico and Kunz.

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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