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Carrier That Didn't Pursue UR Can't Refuse to Pay for Treatment

Tuesday, December 12, 2023 | 0

The Commonwealth Court of Pennsylvania upheld an award of payment to a provider, ruling that an insurance carrier could not refuse to pay for treatment unrelated to a worker’s compensable injuries when the carrier had failed to pursue utilization review. Amato Berardi worked for the Pennsylvania Liquor Control Board as a store clerk. He fell in a parking lot outside the store in June 2019. A workers’ compensation judge found that Berardi suffered a compensable meniscal tear and chondromalacia. Chiropractor Gina Giacoponello of 3B Pain Management provided care to Bera...

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