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.
Medical-legal expenses are not a 'benefit' owed to applicant; defendant is solely liable under §§ 4064(a) and 4622; credit applies only to benefits owed to applicant
From the decision · page 2We have considered the Petition for Reconsideration, the Answer, and the contents of the Report. Based on our review of the record, and for the reasons discussed below, as our Decision After Reconsideration, we will rescind the March 23, 2022 F&A and substitute a new F&A that finds that defendant is liable for payment of the entire amount of
The facts that decided it
What the panel treated as outcome-determinative, and which side it favoured.
Favours Applicant prevailed
Credit applies only to benefits owed to applicant, not to medical-legal expenses defendant is statutorily required to pay directly to QME
QME evaluation obtained under § 4062; defendant solely liable for payment under § 4064(a)
Favours Applicant prevailed
Payment to QME is not a benefit conferred on applicant; defendant cannot shift burden to applicant via credit