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Insurer ordered to pay $2,200 for chronic pain assessment deemed reasonable and necessary following accident.
The applicant was injured in a motor vehicle accident and sought payment for a $2,200 chronic pain assessment.
The insurer denied the benefit, arguing the applicant's ongoing pain was related to her pre-existing Crohn's disease rather than the accident.
The Tribunal found the assessment was reasonable and necessary, noting the applicant had no history of such pain prior to the accident and had consistently sought treatment for over a year.
The Tribunal ordered the insurer to pay the cost of the assessment plus interest.
Application for accident benefits dismissed; applicant failed to prove injuries fell outside the Minor Injury Guideline.
The applicant sought statutory accident benefits following a motor vehicle accident.
The respondent denied several treatment plans on the basis that the applicant's injuries fell within the Minor Injury Guideline (MIG).
The applicant argued she should be removed from the MIG due to chronic pain and psychological impairments.
The Tribunal found the applicant's evidence regarding chronic pain to be inconsistent and preferred the respondent's psychological expert over the applicant's.
The Tribunal concluded the applicant's injuries were predominantly minor and she was not removed from the MIG.
As the $3,500 MIG limit was exhausted, the treatment plans were not payable.
The respondent's request for costs was denied.
