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PanelDismissed

Liliana Perez — ADJ6877517

LILIANA PEREZ, Applicant vs. E&J GALLO WINERY, permissibly self-insured, Defendants

ADJ number: ADJ6877517
Decision date: Aug 3, 2021
District office: Stockton
WCJ: —
Claim administrator: E&J Gallo Winery (permissibly self-insured)
Commissioners: JOSÉ H. RAZO, COMMISSIONER, MARGUERITE SWEENEY, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR

Injury / body parts: right shoulder

LC §5903

Summary

Applicant Liliana Perez sought authorization for an orthopedic surgical consultation for her right shoulder, requested by Dr. Annu Navani (with a report by physician's assistant Corey Tremblay), which was non-certified by Utilization Review (Genex) on December 3, 2019. The WCJ issued a January 10, 2020 F&O finding that a surgical consultation is a form of treatment subject to UR and ordered the parties to proceed with IMR. Applicant petitioned for reconsideration, but a February 10, 2020 IMR determination subsequently overturned the UR denial, requiring defendant to provide the surgical consultation. The Board admitted the IMR determination into evidence and found that applicant was no longer aggrieved by the F&O because she was entitled to the consultation per IMR. The Board vacated its prior order granting reconsideration and dismissed applicant's Petition under Labor Code section 5903.

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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Similar decisions

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Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.

Full case search with summaries, PDFs, holdings, and filters is included with Member. This block is a decorative placeholder so the page layout is visible without exposing restricted text. Sign in or subscribe to Member to read the complete decision. The panel considered the record, the applicable statutes, and the arguments of the parties. Member is $25/month or $250/year and includes the weekly email digest, full case search, and bookmarks.