What the panel ordered
The Appeals Board denied the Petition for Reconsideration, affirming the lack of jurisdiction to review the UR and IMR decisions and rejecting applicant's contentions of bad faith or improper UR.
Applicant sought reconsideration or removal of the WCJ's Findings of Fact issued February 5, 2021, which found the Appeals Board lacked jurisdiction to review the utilization review (UR) and independent medical review (IMR) decisions.
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 Appeals Board lacks jurisdiction to review the UR and IMR decisions because the applicant did not dispute the timeliness of the UR decisions or appeal the IMR determinations as required by Labor Code section 4610.6(h).
From the decision · page 1Applicant seeks reconsideration or in the alternative removal of the Findings of Fact issued by the workers' compensation administrative law judge (WCJ) on February 5, 2021. By the Findings of Fact, the WCJ found that the Appeals Board lacked jurisdiction to review the utilization review (UR) decisions or independent medical review (IMR) determinations at issue.