WCPanelIQ
PanelMed-legalLienDenied

Cardozo, Claudio

CLAUDIO CARDOZO, Applicant vs. ROCK AND ROLL CAR WASH; REDWOOD FIRE AND CASUALTY INSURANCE COMPANY dba BERKSHIRE HATHAWAY HOMESTATE COMPANIES, Defendants

ADJ number
ADJ15763825
Decision date
Sep 15, 2025
District office
Los Angeles
WCJ
Sandra Rosenfeld
Claim administrator
Berkshire Hathaway Homestate Companies (Redwood Fire and Casualty Insurance Company)
Commissioners
—

Injury / body parts: thoracic spine, right shoulder, psyche, sleep, legs, upper extremity, lower extremity, stress, internal, neurological, cardiovascular, pulmonary, back, neck, chest

LC §5909LC §5900LC §5903LC §5LC §4600LC §4621LC §3209.3LC §139.2CCR §9793CCR §10786CCR §10843

Summary

Applicant Claudio Cardozo sustained an admitted specific injury on January 27, 2022 to his thoracic spine and right shoulder while working as a car washer, with numerous disputed body parts including psyche. After his initial PTP discharged him on August 2, 2022 with no permanent disability, applicant amended his claim to add psyche on August 10, 2022, and applicant's attorney designated Dr. Mark Michaels of Premier Psychological Services as a new PTP on August 17, 2022. Dr. Michaels issued a medical-legal evaluation dated November 28, 2022 and billed $7,433.00, which defendant did not pay. The WCJ found Dr. Michaels' report constituted a valid medical-legal report under CCR § 9793(h)(1)-(5) and that lien claimant was entitled to payment. Defendant petitioned for reconsideration, and the WCAB denied it, adopting and incorporating the WCJ's Report and Opinion on Decision.

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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