WCPanelIQ
PanelDenied

Galvan, Virginia

VIRGINIA GALVAN, Applicant vs. REGIONAL CENTER OF ORANGE COUNTY, INC.; CYPRESS INSURANCE COMPANY c/o BERKSHIRE HATHAWAY HOMESTATE COMPANIES, Defendants

ADJ number
ADJ15777619
Decision date
Oct 12, 2025
District office
Anaheim
WCJ
Alan Skelly
Claim administrator
Berkshire Hathaway Homestate Companies (administering for Cypress Insurance Company)
Commissioners
—

Injury / body parts: neck, shoulders, wrists, hands, mid back, back, spine, hips, knees, ankles, joints

LC §4600LC §4616.3LC §5502LC §5701LC §5900LC §5906LC §5909CCR §9767.12CCR §10600CCR §10759

Summary

Applicant Virginia Galvan sustained industrial injuries to multiple body parts and her attorney designated IPM Medical Group/Boomerang as her primary treating physician outside defendant's MPN. Defendant contended applicant was required to treat within its MPN, but submitted no documentary or testimonial evidence at trial establishing the existence of a valid MPN, that required notices were provided, or that treatment was actually being provided. The WCJ found that defendant failed to meet its burden and, drawing an adverse inference from the absence of evidence, ruled the applicant could self-procure treatment outside the MPN. The WCAB adopted the WCJ's Report and Joint Opinion on Decision and denied reconsideration, finding defendant's burden was misplaced and that defendant could not develop the record on evidence that existed before the MSC but was never listed on the PTCS.

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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