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SIGNIFICANT CASE SUMMARIES Pennsylvania Case Summaries Perry v. Mid Atlantic Hose Center, LLC (WCAB) No. 850 C.D. 2023 Commonwealth Court of Pennsylvania Decided: Sept. 17, 2024 The failure to list all treating physicians in a UR request does not necessarily invalidate the UR process. Background On June 17, 2021, Employer requested a utilization review (UR)… read more

SIGNIFICANT CASE SUMMARIES West Virginia Case Summaries Eloirzazi v. AM Communications Intermediate Court of Appeals of West Virginia No. 24-ICA-110 Decided: October 28, 2024 To expand a compensable injury to include new conditions, a claimant must prove the conditions are causally related to the work injury. To reopen a case for TTD benefits, a claimant… read more

SIGNIFICANT CASE SUMMARIES Pennsylvania Case Summaries Federated Ins. Co. v. Summit Pharmacy (Bureau of Workers’ Comp. Fee Rev. Hrg. Office) No. 61 MAL 2024 Supreme Court of Pennsylvania Appeal Granted: August 27, 2024 The Supreme Court of Pennsylvania has granted an appeal in the case of Federated Insurance Company v. Summit Pharmacy, which challenges key… read more

SIGNIFICANT CASE SUMMARIES Washington, DC Case Summary Lopez v. D.C. Dep’t of Emp. Servs. D.C. Court of Appeals No. 22-AA-0765 Decided: August 8, 2024 DCA holds that day laborer is not a casual employee Background The Claimant, a day laborer, was injured while working for the Employer when he fell from a ladder. The Employer… read more

SIGNIFICANT CASE SUMMARIES Pennsylvania Case Summaries Reading Anthracite Co. v. Oxenrider (WCAB) Nos. 120 CD 2023, 121 CD 2023, 126 CD 2023, & 170 CD 2023 Commonwealth Court of Pennsylvania Decided: June 11, 2024 The WCJ has the discretion to correct mistakes in a Bureau document but is not compelled to by the Act. Background… read more