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WCAB: Med-Legal Claimant Must Prove Necessity, Even if Payer Doesn't Issue EOR

Friday, November 15, 2019 | 0

Medical-legal lien claimants are required to prove that expenses were reasonably and necessarily incurred to collect on a lien in California, and a payer that fails to cite reasonableness or necessity as an objection to a bill doesn’t forfeit the right to raise those defenses at a lien conference, the Workers’ Compensation Appeals Board said in an en banc decision published Thursday. The unanimous decision in Colamonico v. Secure Transportation et al. ordered additional proceedings to develop the record and determine whether the $1,151.07 claimed by Med-Legal Photocopy was for ser...

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