WCPanelIQ
PanelQMEMed-legalLienRemanded

Delgado, Alicia

ALICIA DELGADO, Applicant vs. NEW VISTA HEALTH CARE INC.; STATE COMPENSATION INSURANCE FUND, Defendants

ADJ number
ADJ4457963
Decision date
Sep 22, 2025
District office
Oxnard
WCJ
—
Claim administrator
State Compensation Insurance Fund
Commissioners
KATHERINE A. ZALEWSKI, CHAIR, KATHERINE WILLIAMS DODD, COMMISSIONER, ANNE SCHMITZ, DEPUTY COMMISSIONER

Injury / body parts: back, neck, shoulders, arms, psyche

LC §4060LC §4600LC §4622LC §4628LC §4903LC §4903.8LC §5402LC §5701LC §5903LC §5906LC §5952CCR §10978

Summary

Defendant State Compensation Insurance Fund sought reconsideration of a February 22, 2021 F&A in which the WCJ found applicant's claimed cumulative injury compensable under the section 5402 presumption and awarded Angoal Medical Collections reimbursement at ML-103 rates plus statutory increase and interest under section 4622 for a 2003 psychiatric medical-legal report by Julie Goalwin, M.D. The Board agreed the Angoal lien was not barred under section 4903.8, upholding the validity of the 4903.8(d) declaration and the assignment despite late service, because section 4903.8(e)'s invalidity remedy applies only to liens filed on or after January 1, 2013, while this lien was filed in 2003. However, the Board found the record inadequate to determine whether Dr. Goalwin was validly selected under section 4060(c) as it existed in 2003 and could not assess the reasonableness of the charges because no specific dollar amounts were awarded. The Board rescinded and restated the F&A, deferring the selection-validity, reasonableness, statutory increase/interest, and filing-fee issues, and returned the matter to the trial level for development of the record.

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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