WCPanelIQ
PanelLienDismissed

Edward Garcia — ADJ1179599

EDWARD GARCIA, Applicant vs. STATE OF CALIFORNIA, DEPARTMENT OF TRANSPORTATION, legally uninsured; STATE COMPENSATION INSURANCE FUND, adjusting agency, Defendants

ADJ number
ADJ1179599
Decision date
Jun 24, 2021
District office
Marina del Rey
WCJ
—
Claim administrator
State Compensation Insurance Fund
Commissioners
ANNE SCHMITZ, DEPUTY COMMISSIONER, MARGUERITE SWEENEY, COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER
LC §4603.2LC §5909LC §5315

Summary

Edward Garcia received continuing home care from Home Management Care (HMC), and a dispute arose over the documentation required to justify HMC's billings. The WCJ ordered State Compensation Insurance Fund (claims administrator for the legally uninsured State of California, Department of Transportation) and HMC to confer and reach an agreement on billing documentation. Defendant petitioned for reconsideration, arguing the WCJ should have applied Labor Code section 4603.2(b)(1)(A) billing documentation requirements against HMC. The Board granted reconsideration, directed the parties to a commissioners' settlement conference, and the parties resolved the issue via Stipulations filed June 14, 2021. The Board approved the Stipulations, dismissed the petition for reconsideration, and affirmed the WCJ's Joint Findings of Fact and Order.

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.