WCPanelIQ
PanelDenied

Perla Torres — ADJ13521927

PERLA TORRES, Applicant vs. LITHOGRAPHIX, INC.; INSURANCE COMPANY OF THE WEST, adjusted by ICW GROUP, Defendants

ADJ number
ADJ13521927
Decision date
May 27, 2021
District office
Los Angeles
WCJ
—
Claim administrator
ICW Group (Insurance Company of the West)
Commissioners
DEIDRA E. LOWE, COMMISSIONER, KATHERINE A. ZALEWSKI, CHAIR, KATHERINE WILLIAMS DODD, COMMISSIONER

Injury / body parts: right wrist, low back, left thigh, left knee

LC §4600LC §4616LC §4616.3LC §5401LC §5402LC §5307.27LC §5705CCR §9767.5CCR §9767.6CCR §10507CCR §10605

Summary

Applicant Perla Torres sought reconsideration of a WCJ's Findings of Fact holding she did not prove a denial of care within the employer's MPN that would entitle her to treat outside the MPN at the employer's expense. Applicant claimed defendant failed to provide timely treatment, including by not scheduling an appointment within 3 business days under AD Rule 9767.5(f). The Board found that defendant acknowledged the claim and arranged treatment at Concentra shortly after the claim form was mailed, and that the 3-business-day standard never triggered because there was no evidence applicant contacted an MPN medical access assistant. The Board held applicant, who bore the burden of proof, failed to show any neglect or refusal to provide treatment. The Petition for Reconsideration was denied.

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.