WCPanelIQ
PanelGranted

Juarez, Maribel Esmeralda

MARIBEL ESMERALDA JUAREZ, Applicant vs. BIG GREEN CLEANING COMPANY; ACE AMERICAN INSURANCE COMPANY, Administered By CORVEL, Defendants

ADJ number
ADJ19841125
Decision date
Sep 14, 2025
District office
Santa Barbara
WCJ
—
Claim administrator
CorVel (administering for ACE American Insurance Company)
Commissioners
JOSÉ H. RAZO, COMMISSIONER, LISA A. SUSSMAN, DEPUTY COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER

Injury / body parts: shoulder

LC §5909LC §5900CCR §10600CCR §9767.3CCR §9767.5

Summary

Applicant Maribel Esmeralda Juarez sustained an industrial shoulder injury on May 14, 2024 while working as a laborer for Big Green Cleaning Company. A WCJ found in an Expedited Findings of Fact dated June 26, 2025 that applicant was not entitled to treat with MPN orthopedist Dr. Christopher Proctor at his Santa Barbara office because that location was not listed in defendant's MPN, although Dr. Proctor did appear in the MPN for his Solvang office. The parties went to trial without presenting any documentary evidence or testimony. The Appeals Board granted reconsideration, rescinded the WCJ's decision, and remanded the matter for further development of the record because the issue could not be fully analyzed on the incomplete record, particularly in light of competing panel authorities and an administrative rule allowing MPNs discretion to approve treatment at non-listed locations.

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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