What the panel ordered
Petition for reconsideration denied; WCJ's Findings and Orders affirmed.
Petition for reconsideration by lien claimant (Prescription Center) of WCJ's Findings and Orders denying reimbursement for treatment and medical-legal costs related to gastrointestinal injury claim.
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.
LiensDefendant prevailedgastrointestinal system
Lien claimant failed to establish by preponderance of evidence that applicant sustained an industrial injury to the gastrointestinal system or that the treatment provided was necessary to cure or relieve effects of an industrial injury.
From the decision · page 2In this case, lien claimant had the burden of establishing that the applicant sustained an injury to his gastrointestinal system by preponderance of the evidence. In its Petition, despite asserting that it established applicant sustained an industrial injury to the gastrointestinal system by the preponderance of the evidence, lien claimant did not cite to evidence on the issue of industrial causation. If lien claimant had established that applicant sustained an industrial injury to the gastrointestinal system, lien claimant would still need to show that its charges were reasonable and necessary to treat the industrial injury. Bills and bill review documents may help to show that charges were reasonable but cannot show that the treatment provided was necessary to cure or relieve applicant from the effects of an industrial injury. Lien claimant did not meet its burden of showing that it provided necessary treatment to treat an industrial injury and therefore, we will deny reconsideration.