Workers’ Compensation · Primary-source case analysis
Suon: Controlling QME Information and Ex Parte Communications
Suon supplies a practical framework for controlling what reaches a qualified medical evaluator and for responding when a party believes the statutory communication rules were violated.
Three claims and a disputed QME record
Sandab Suon filed three injury claims arising from his work as a machine operator for California Dairies. The cases were consolidated, multiple carriers were involved, and the parties disputed records and correspondence sent in connection with a cardiovascular QME evaluation. The judge found violations and imposed remedies; one carrier sought review.
Unresolved information disputes belong before the WCAB
The Board held that parties should first try to resolve disagreements about information proposed for a QME. If they cannot, the dispute must be presented to the WCAB rather than decided unilaterally by sending or withholding the material. Section 4062.3 governs both information provided to the evaluator and communications about the evaluation.
Reasonable-time rules protect the process
Although section 4062.3(b) does not state a fixed deadline for objecting to medical records, the opposing party must object within a reasonable time to preserve the issue. Likewise, a party that discovers a prohibited ex parte communication and elects to terminate the evaluation and seek a new one must act within a reasonable time.
Remedy and disposition
The trial judge has broad discretion to select an appropriate remedy for a violation. Because rulings about QME information and ex parte communication are interlocutory, removal was the proper avenue for immediate review. The WCAB treated the petition as one for removal, rescinded the findings, and returned the matter for further proceedings.
Key takeaways
- Try to resolve QME-record disputes before submitting material.
- Bring an unresolved dispute to the WCAB instead of acting unilaterally.
- Object and request a replacement evaluation within a reasonable time.
- Use the correct procedural vehicle when challenging an interlocutory QME ruling.
Discuss the procedural record
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