July 28, 2026
Prior Authorization Requests Must Comply with Rule 16 Requirements

The claimant sustained an admitted work injury to his lower back and then relocated to Texas. The provider in Texas submitted a request for prior authorization for surgery. The adjuster issued a denial that simply stated the surgery was denied. The denial did not comply with Rule 16.

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July 27, 2026
Successful Appeal of Penalty Order

In this claim, Respondents were issued a penalty for failure to pay the CUE fund as part of an earlier penalty resolution that occurred over six months prior. This penalty order was part of a series of orders from the Division regarding failure to pay funds into the CUE fund at the time of the penalty or settlement.

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July 27, 2026
No Compensable Workplace Injury After Failure to File a Timely Report

The claimant was a CDL driver for the employer, who worked in the frac heating department during the winter. At approximately 4:00 AM one morning, during an overnight shift, the claimant alleged that he was lifting frozen hoses when he felt a pop in his lower back and had pain.

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July 27, 2026
No Compensable Injury

The claimant who had a long history of balance issues, attendance issues, and poor job performance reported to work first thing in the morning seven hours before her scheduled shift. The claimant clocked in and then immediately went to the ladies’ room where she claimed she slipped and fell.

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April 12, 2026
No Compensable Work Injury Proven After Multiple Stories Offered in the Claim

The claimant alleged a work injury to his cervical spine that required an emergent C4-5 anterior cervical decompression and fusion. Throughout the claim, there were multiple stories about what resulted in the claimed injury. Due to pain and tingling in his hands after working outside on a cold day, the claimant was initially treated for and diagnosed with frostbite of the hands. The claimant did not allege any specific activity or incident that caused these symptoms.

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April 12, 2026
Claimant Did Not Sustain Compensable Injury After Causing a Motor Vehicle Accident

At approximately 2 AM one morning, the claimant was driving two trailers weighing about 75,000 pounds back to the employer’s terminal in Aurora when he realized at the last minute that he was closing in on a box truck and struck the back left corner of the box truck, totaling it. The claimant reported to the responding officer and EMS personnel that he had no injuries and was able to complete his trip back to the employer’s terminal.

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April 11, 2026
Treatment From Unauthorized Provider

After MMI, the claimant sought additional treatment for his injury through his primary care physician (PCP) and was referred to an orthopedic specialist.

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April 11, 2026
Right of Selection Passes to Respondents When ATP Refuses

The claimant requested a change of physician to Dr. Matney. This was granted by Respondents. Dr. Matney then refused to assume care in the matter. This was a refusal to treat for non-medical reasons. Respondents then timely designated Dr. Kawasaki. The clamant refused to recognize this designation.

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April 11, 2026
Favorable Settlement on Construction Defect Claim

Our office was retained to pursue subrogation recovery on a claim where the Defendant, a public works contractor, was awarded a contract to install a significant amount of water mains in a prominent Colorado city. After the pipe had been installed by Defendant, a portion of the water main ruptured and flooded a building.

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April 11, 2026
Favorable Settlement on Civil Subrogation Claim

Plaintiff, an employee of a glass bottle manufacturer, suffered significant burns when a piece of molten glass came into contact with her leg and ignited her pants. The employer provided Plaintiff significant treatment through the workers’ compensation system.

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