WCPanelIQ
PanelMed-legalLienGranted

Bailon Martinez, Raul

RAUL BAILON MARTINEZ, Applicant vs. VILLA PARK LANDSCAPE; OAK RIVER INSURANCE, Defendant

ADJ number
ADJ16834660
Decision date
Aug 20, 2025
District office
Anaheim
WCJ
—
Claim administrator
Oak River Insurance
Commissioners
ANNE SCHMITZ, DEPUTY COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER

Injury / body parts: bilateral upper extremities

LC §5402

Summary

Lien claimant Medland Medical petitioned for reconsideration of the WCJ's December 31, 2024 Findings and Orders, which denied reimbursement for medical treatment and medical-legal reporting costs rendered prior to the January 13, 2023 claim denial, allowed payment for post-denial treatment but found the record inadequate to value those services. The applicant, a landscaper, sustained industrial injury to his bilateral upper extremities during the period April 17, 2021 to April 17, 2022. Medland argued it was entitled to reimbursement during the delay period under Labor Code section 5402(c) because the employer failed to provide medical provider network notice and comply with statutory treatment/notice obligations, and that Dr. Haghighinia's reporting was a valid medical-legal expense. The Board granted reconsideration, directed the parties to a commissioners' settlement conference, and the parties filed a Stipulation Re Settlement of Lien on August 8, 2025. As its Decision After Reconsideration, the Board rescinded the December 31, 2024 Findings and Orders and approved the settlement stipulation.

Issues

Member is $25/month or $250/year and includes full case search.

Holding

Member is $25/month or $250/year and includes full case search.

Analysis

Member is $25/month or $250/year and includes full case search.

Applicant takeaway

Member is $25/month or $250/year and includes full case search.

Defense takeaway

Member is $25/month or $250/year and includes full case search.

Provider takeaway

Member is $25/month or $250/year and includes full case search.

Similar decisions

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.

Member is $25/month or $250/year. Subscribe to view similar decisions.