The applicant sought entitlement to two physiotherapy treatment plans, a special award, and interest following a motor vehicle accident.
The Tribunal found the first treatment plan for $5,510.41 was not reasonable and necessary, as the applicant experienced only temporary pain relief and failed to demonstrate functional improvement.
However, the Tribunal ordered the respondent to pay the second treatment plan for $7,395.06 because the respondent's denial notice failed to provide a medical reason, violating section 38(8) of the Schedule.
The claim for a special award was dismissed as the respondent's conduct was not excessive or imprudent.
Interest was awarded on the payable treatment plan.
