Allied Signal Aerospace v. Workers' Compensation Appeals BoardAnnotate this Case
An employer's decision to deny or modify a physician's request for specific medical services for an injured employee is subject to review under the "utilization review" process; utilization review is handled by medical experts. Petitioners sought issuance of a writ of review following a decision by the appeals board concerning an employee and her request for heavy housework assistance.
The Court of Appeal granted the employer's petition for review because the appeals board acted in excess of its jurisdiction in addressing, on the merits, the issue of home assessment for housekeeping services. The court explained that the Legislature has expressly stated that it was its intent to have medical professionals ultimately determine the necessity of requested treatment. Therefore, the court annulled the decision of the appeals board and remanded with directions for further proceedings.