The applicant was injured in a motor vehicle accident and sought various medical and rehabilitation benefits under the Statutory Accident Benefits Schedule, which the respondent insurer denied.
The adjudicator first determined that the applicant's shoulder and back injuries were caused by the accident, rejecting the insurer's argument that they were pre-existing.
The adjudicator then reviewed six disputed treatment plans.
Five plans for chiropractic, physiotherapy, dental splints, and active release treatment were found to be reasonable and necessary to treat the applicant's ongoing pain and impairments.
However, a treatment plan for extensive psychological services was deemed excessive, with the adjudicator preferring the insurer's psychological assessment that limited sessions were sufficient.
The applicant was awarded the approved treatment plans along with interest on the overdue amounts.