Five Utilization Review Petitions worth $500,000 successfully defended.
We successfully defended a workers' compensation carrier in five separate Utilization Review Petitions. Claimant was being treated by a well-known coordinated care organization. The petitions involved approximately $500,000 worth of varied work-injury-related medical expenses generated by a myriad of providers with the CCO. Through our use of expert testimony and factual evidence generated by the FBI pertaining to the CCO, the judge found that the treatment was unreasonable and unnecessary. All five UR petitions were dismissed.