What the panel ordered
Findings and Award and Order of March 25, 2021, rescinded; lien of Pain Management Care disallowed; stipulation approving settlement with Dental Trauma Center approved
Petition for reconsideration granted in part; decision after reconsideration issued
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.
From the decision · page 1The WCJ also found that the services of Dental Trauma Center were reasonably required to cure or relieve applicant from the effects of the industrial injury and ordered Dental Trauma Center be reimbursed for their services, with jurisdiction reserved over any dispute as to the proper reimbursement rate.
The WCJ found Pain Management Care's services were not reasonably necessary and disallowed the lien; the WCAB affirmed this finding after reconsideration.
From the decision · page 1On May 13, 2021, we granted reconsideration1 of a March 25, 2021 Findings and Award and Order issued by the workers' compensation administrative law judge (WCJ) in this matter. In that decision, the WCJ found that lien claimant Pain Management Care's services were not shown to have been reasonably necessary to cure or relieve the applicant from the effects of the industrial injury. The WCJ Ordered the lien of Pain Management Care be disallowed.
The facts that decided it
What the panel treated as outcome-determinative, and which side it favoured.
Lien claimant Pain Management Care's services were not shown to be reasonably necessary to cure or relieve effects of the industrial injury
Favours Defendant prevailed
This fact led to disallowance of Pain Management Care's lien
From the decision · page 1On May 13, 2021, we granted reconsideration1 of a March 25, 2021 Findings and Award and Order issued by the workers' compensation administrative law judge (WCJ) in this matter. In that decision, the WCJ found that lien claimant Pain Management Care's services were not shown to have been reasonably necessary to cure or relieve the applicant from the effects of the industrial injury. The WCJ Ordered the lien of Pain Management Care be disallowed.
Favours Applicant prevailed
The settlement was approved by the WCAB, resolving the dispute over Dental Trauma Center's lien
The rules the panel named
Authorities as the decision cited them, with how this panel applied each one.
California Labor Code
Lien claimant services must be reasonably necessary to cure or relieve effects of industrial injury
Applied to determine reasonableness of lien claimant services
From the decision · page 1On May 13, 2021, we granted reconsideration1 of a March 25, 2021 Findings and Award and Order issued by the workers' compensation administrative law judge (WCJ) in this matter. In that decision, the WCJ found that lien claimant Pain Management Care's services were not shown to have been reasonably necessary to cure or relieve the applicant from the effects of the industrial injury. The WCJ Ordered the lien of Pain Management Care be disallowed.
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About this page
- A published decision of the California Workers' Compensation Appeals Board, taken apart by what it turned on. The Board publishes the decision itself; this page adds the extraction and quotes the passage behind every claim.
- The injured worker is not named here, and the case caption is not printed. Physicians appear as the decision names them, because a medical opinion is an act in a public proceeding.
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