What the panel ordered
Findings and Award affirmed except as amended: applicant entitled to reimbursement for self-procured medical treatment at the amount provided by the Official Medical Fee Schedule; matter returned to trial level for determination of amount due under OMFS.
Defendant sought reconsideration of the December 6, 2019 Findings and Award regarding reimbursement for self-procured medical treatment expenses related to an authorized surgery.
What was disputed, and how it came out
Each issue the panel decided, with the reasoning it gave. An outcome is what this panel did on this record — not a rule, and not a prediction.
Applicant is entitled to reimbursement for self-procured medical treatment, but only at the amount provided by the OMFS, as defendant was not required to pre-pay or pay in excess of OMFS for authorized treatment.
From the decision · page 5FINDINGS OF FACT 6. Applicant is entitled to reimbursement for self-procured medical treatment at the amount provided by the Official Medical Fee Schedule. The issue of reimbursement for self-procured care is deferred with jurisdiction reserved at the trial level.