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WCAB Issues New En Banc Decision Limiting Review of UR to Timeliness Issues

By Sherri Okamoto (Legal Reporter)

Tuesday, October 7, 2014 | 20

The California Workers' Compensation Appeals Board, sitting en banc, ruled Monday that a utilization-review decision will be deemed invalid and ineligible for the independent medical review process created by Senate Bill 863 only if it is untimely. If a UR decision is untimely, the WCAB said it can make the determination of whether the requested treatment was medically necessary or not, otherwise, the dispute must go through IMR. Monday's ruling in Dubon v. World Restoration is a step back from the board's February en banc decision in the same case, which had held that UR decisio...

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