WCPanelIQ
PanelQMEMed-legalRemanded

Venus Marcial — ADJ10772269

VENUS MARCIAL, Applicant vs. NBCUNIVERSAL MEDIA, LLC; ACE AMERICAN INSURANCE COMPANY, administered by HELMSMAN MANAGEMENT SERVICES, Defendants

ADJ number
ADJ10772269
Decision date
Feb 4, 2021
District office
Marina Del Rey
WCJ
Jacqueline A. Walker
Claim administrator
Helmsman Management Services (administering for ACE American Insurance Company)
Commissioners
—

Injury / body parts: bilateral hands/wrists, bilateral elbows, fingers, psyche (disputed), diabetes (disputed)

LC §5900LC §5902LC §5903

Summary

Applicant Venus Marcial, a cook, sustained admitted industrial injuries to her bilateral hands/wrists, elbows, and fingers, with disputed claims to her psyche and diabetes. The WCJ issued Joint Findings of Fact that excluded a Utilization Review (UR) denial letter to Dr. Jerrold Bustos from evidence as untimely and found the requested Functional Restoration Program Evaluation medically necessary. Defendant petitioned for reconsideration or, alternatively, removal. The Board held that the WCJ's decision was interlocutory (resolving only evidentiary/procedural issues) and therefore not a 'final' order subject to reconsideration, so it dismissed the reconsideration petition. However, it granted removal, rescinded the November 24, 2020 decision, and returned the matter to the WCJ for further proceedings, in part because the WCJ acknowledged she may have misconstrued the framed issue of UR timeliness as a stipulation rather than a disputed issue requiring judicial determination.

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.