WCPanelIQ
PanelQMEMed-legalGranted in Part

Maria Mercedes Sanchez — ADJ9011724

MARIA MERCEDES SANCHEZ, Applicant vs. PARCO, INC., permissibly self-insured, administered by CLAIM QUEST, INC., Defendants

ADJ number
ADJ9011724
Decision date
Aug 31, 2021
District office
Pomona
WCJ
—
Claim administrator
Claim Quest, Inc. (administrator for Parco, Inc., permissibly self-insured)
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, ANNE SCHMITZ, DEPUTY COMMISSIONER, CRAIG SNELLINGS, COMMISSIONER

Injury / body parts: shoulders, wrists, fingers, upper extremities, elbows, forearms, psyche, headaches, sleep

LC §4060LC §4061LC §4062LC §4064LC §4622CCR §10451.1

Summary

Applicant's QME orthopedist recommended referral to psychology and neurology specialists, and applicant obtained additional QME panels in those specialties despite defendant's objections. A psychological evaluation was set with PQME Marilyn Strada, Ph.D., but applicant's attorney cancelled the day before the appointment, triggering Dr. Strada's $750 late cancellation fee plus charges for record review and clerical costs. Defendant paid only $750 of the $1,450 bill and attempted to shift liability to applicant's attorney, while the WCJ originally found the applicant's attorney liable. On reconsideration, the WCAB rescinded the FA&O, holding that defendant—not applicant or her attorney—is liable for the $700 balance because defendant treated Dr. Strada as a validly appointed panel QME, jointly provided records, and never advised her of any objection to her evaluation.

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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