WCPanelIQ
PanelQMEMed-legalDenied

Hsin Chun Tsai — ADJ21943588

HSIN CHUN TSAI, Applicant vs. HRC FERTILITY MANAGEMENT LLC; OLD REPUBLIC INSURANCE COMPANY, administered by GALLAGHER BASSETT, Defendants

ADJ number
ADJ21943588
Decision date
Aug 30, 2026
District office
Pomona District Office
WCJ
—
Claim administrator
Gallagher Bassett (administering for Old Republic Insurance Company)
Commissioners
JOSEPH V. CAPURRO, COMMISSIONER, CRAIG L. SNELLINGS, COMMISSIONER, JOSÉ H. RAZO, COMMISSIONER

Injury / body parts: neck, shoulder, back, wrists, waist, abdomen, psyche (stress/anxiety/depression), headaches, nausea, dizziness, sleep loss

LC §5402LC §5401LC §5900LC §5909CCR §9812CCR §10600CCR §31.5CCR §31.1CCR §10955

Summary

Applicant, a licensed vocational nurse alleging a cumulative trauma injury ending December 3, 2025, sought reconsideration of a WCJ's June 15, 2026 Findings and Order that denied application of the Labor Code section 5402(b) presumption of compensability and validated defendant's orthopedic QME panel over a later chiropractic panel. Defendant had issued a denial notice dated January 9, 2026, which contained a transposed date of injury (12/30/2025 instead of 12/03/2025). Applicant argued the typographical error rendered the denial defective, triggering the 5402(b) presumption and invalidating the QME panel. The Board held the transposition was a harmless typographical error, that a denial notice is not required to list a date of injury, and that the relevant inquiry is whether liability was rejected within 90 days—which it was, as evidenced by applicant's own use of the denial letter to obtain a chiropractic panel by February 3, 2026. The Board denied reconsideration, upholding the orthopedic QME panel and rejecting the presumption.

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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