What the panel ordered
Petition for Reconsideration by lien claimant Medland Medical denied.
Lien claimant Medland Medical seeks reconsideration of a WCJ's Findings and Order of June 28, 2024, regarding retrospective utilization review of medical treatment lien.
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.
The WCJ and WCAB found that defendant timely issued a utilization review deferral notice to the initial request and was not required to issue subsequent notices, allowing retrospective utilization review.
The facts that decided it
What the panel treated as outcome-determinative, and which side it favoured.
Defendant issued a timely utilization review deferral notice to the initial Request for Authorization on 10/24/2022.
Favours Defendant prevailed
This notice satisfied the regulatory requirement and exempted defendant from issuing subsequent notices, supporting retrospective utilization review.