Christiana Care Health Services v. Palomino

RIDGELY, Justice,

for the majority.

Cecil Palomino, Salvador Avila-Hernandez and Julio Munoz (“Claimants”) were each injured in different work-related accidents. It is not disputed that their injuries are compensable under the Worker’s Compensation Act and that payments of some worker’s compensation have been made. After their doctors recommended certain treatments, their employers requested determinations of whether the treatment plans fell outside of the Health Care Practice (“HCAP”) Guidelines through a utilization review (“UR”) authorized by 19 Del. C. § 2322F(j). The UR panel determined…