WCPanelIQ
PanelQMEMed-legalLienDenied

Bakri, Nasri

NASRI BAKRI, Applicant vs. COSTCO WHOLESALE; permissibly self-insured; administered by HELMSMAN MANAGEMENT SERVICES, LLC, Defendants

ADJ number
ADJ11204383
Decision date
Sep 28, 2025
District office
Long Beach
WCJ
Barbara Toy
Claim administrator
Helmsman Management Services, LLC (administrator for permissibly self-insured Costco Wholesale)
Commissioners
—

Injury / body parts: stroke/internal, circulatory system, psyche (stress, anxiety, depression), neurological

LC §5909LC §5900LC §5705LC §3202.5LC §4600LC §5903LC §5952LC §4628LC §139.2LC §3208.3LC §4060LC §4061LC §4062LC §4062.1LC §4062.2LC §4067LC §3209.3CCR §9793CCR §10682

Summary

Lien claimant Premier Psychological Services sought recovery on a lien for services provided by Dr. Michaels, a psychologist, including a claimed comprehensive medical-legal evaluation and treatment, in a case where applicant Nasri Bakri alleged a cumulative trauma injury (stroke, circulatory, psych, neuro) during his employment with Costco from 2000 to 2016. The WCJ found the underlying claim entirely non-industrial based on three PQMEs who attributed applicant's strokes to non-industrial Antiphospholipid Syndrome, and found Dr. Michaels' report was not substantial medical evidence because he failed to review the PQME reports, obtain an adequate history, or provide reasoning for his conclusion that causation was predominantly industrial. The WCJ denied the lien in full, holding the report failed the requirements of 8 CCR 9793(h)(3) for a valid medical-legal evaluation. The Appeals Board adopted and incorporated the WCJ's Report and Opinion on Decision and denied reconsideration. The Board also addressed the timeliness of its decision under the amended Labor Code section 5909, finding it acted within 60 days of transmission.

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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