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Assembly Passes Bill Potentially Allowing Penalties When UR Overturned

Monday, May 6, 2019 | 2

The California Assembly passed a bill that would open up the possibility for injured workers to seek penalties for unreasonable delays when a utilization review determination is overturned by independent medical review. California law allows injured workers to seek penalties of up to 25% or $10,000, whichever is less, when benefits are unreasonably delayed or denied. The Labor Code also declares decisions of the Workers’ Compensation Appeals Board that medical treatment was appropriate, and IMR decisions finding them same, are not conclusive evidence of an unreasonable delay or...

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