WCPanelIQ
PanelMed-legalLienGranted

Richard Chavez — ADJ10159304

RICHARD CHAVEZ, Applicant vs. SOLO FOOD; SECURITY NATIONAL INSURANCE COMPANY, administered by AMTRUST, Defendants

ADJ number
ADJ10159304
Decision date
Aug 2, 2026
District office
Long Beach District Office
WCJ
—
Claim administrator
AmTrust (administering Security National Insurance Company)
Commissioners
PAUL F. KELLY, COMMISSIONER, KATHERINE WILLIAMS DODD, COMMISSIONER

Injury / body parts: lumbar spine, hernia, psyche

LC §4060LC §4600LC §4603.3LC §4603.6LC §4610LC §4610.5LC §4610.6LC §4620LC §4621LC §4622LC §4903LC §4903.05LC §4903.07LC §4903.8LC §5800LC §5813LC §5814LC §5900LC §5909CCR §9795CCR §10421CCR §10786

Summary

Lien claimant Premier Psychological Services sought reconsideration of a WCJ's Findings and Award that found it waived its right to reimbursement for medical-legal services by failing to properly submit its billing, but awarded a reduced 'equitable' amount of $2,830.00 without interest or penalties. Applicant, a truck driver, sustained industrial injury to his lumbar spine and hernia; his treating psychologist Dr. Michaels performed a psychological medical-legal evaluation after a claimed psyche injury was contested. The Board granted reconsideration, holding that a medical-legal lien accompanied by a billing statement filed under section 4903(b) was sufficient to initiate the section 4622 dispute resolution process, and that defendant's failure to issue a timely EOR waived all objections except compliance with sections 4620 and 4621. The Board rejected the WCJ's reliance on UR/IMR concepts and equitable reimbursement, finding lien recovery is controlled by the Labor Code. The Board rescinded the F&A and awarded the full $8,030.00 lien amount plus statutory increase, interest from February 28, 2024, and reimbursement of the lien filing fee.

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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