What the panel ordered
Dismissal of applicant's Petition for Reconsideration after admitting the February 10, 2020 IMR determination into evidence
Petition for Reconsideration of the Findings of Fact, Orders and Opinion on Decision issued by the WCJ on January 10, 2020
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 treatment / UR / IMRDefendant prevailedright shoulder
The IMR determination overturned the Utilization Review denial and required the defendant to provide the surgical consultation, so the applicant was not aggrieved by the WCJ's Findings of Fact, Orders and Opinion on Decision.
From the decision · page 1Request for an authorization for an orthopedic surgical consult that was made by Dr. Annu Navani, M.D. with a report written by physician's assistant Corey Tremblay specifically requesting an orthopedic surgical consultation for the right shoulder. There were other items requested at the same time, but we're only dealing with the authorization request for the orthopedic surgical consult for the right shoulder which was non-certified by the Utilization Review company Genex on December 3, 2019.