Cost petitioner Physical Rehabilitation Services, Inc. (PRSI) (Dr. Arbi Mirzaians) performed a medical-legal evaluation on May 29, 2024 after defendant denied the claim AOE/COE on April 9, 2024, billing $2,015.00 under ML 201. Defendant issued a timely EOR objecting to the bill but listed reasons applicable to treatment, not medical-legal services, and made no payment. The WCJ found the evaluation reasonable and necessary, awarded the billed amount plus a 10% penalty, 7% interest, and $500 in costs, but erred by not issuing sanctions. On reconsideration, the Board denied defendant's petition and granted cost petitioner's petition, affirming the F&O and amending it to find bad faith tactics/frivolous litigation and to order $500 in sanctions under Labor Code section 5813.
Issues
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Holding
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Analysis
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Applicant takeaway
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Defense takeaway
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Provider takeaway
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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Similar decisions
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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The panel considered the record, the applicable statutes, and the arguments of the parties.
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