WCPanelIQ
PanelQMEMed-legalGranted

Ramon Garcia Castaneda — ADJ8710590

RAMON GARCIA CASTANEDA, Applicant vs. LEGENDS ICONS; KUSKE ENTERPRISES, INC. dba LEGENDS ICONS, Defendants

ADJ number
ADJ8710590
Decision date
May 25, 2026
District office
Riverside
WCJ
—
Claim administrator
Farmers Insurance
Commissioners
CRAIG L. SNELLINGS, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER, JOSEPH V. CAPURRO, COMMISSIONER

Injury / body parts: arm (elbow/head of radius), forearm (radius and ulna), legs (above ankles), lumbar spine, left elbow, gastrointestinal, psyche (pain disorder)

LC §3205.5LC §4055.2LC §4603.3LC §4620LC §4621LC §4622LC §5313LC §5705.5LC §5708LC §5709LC §5900LC §5903LC §5909LC §5952CCR §10451.1CCR §10786CCR §10787

Summary

Supreme Copy Service, a copy service cost petitioner, sought reconsideration of a WCJ's F&O that found it entitled to only $1,312.56 in medical-legal copying charges and denied penalties and interest. The underlying case involved an applicant who claimed continuous trauma injuries while working as a cook and whose claim was resolved by a denied-case C&R. The Board granted reconsideration, finding that a contested claim existed as of January 9, 2013 (when the Application alleged disagreement over all benefits) and that all SDTs issued thereafter were reasonably calculated to lead to relevant evidence and thus reimbursable. The Board further found defendant's EOR (invoice-dated January 26, 2020) was untimely and non-compliant given invoices issued between 2013 and 2015, waiving defendant's objections other than 4620/4621 compliance. The Board rescinded the F&O, substituted new findings entitling cost petitioner to reasonable reimbursement plus penalties and interest, and remanded for the WCJ to determine the amount payable for each SDT.

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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