The applicant, a pedestrian injured in a motor vehicle accident, sought a medical benefit of $1,553.60 for a treatment plan after being removed from the Minor Injury Guideline.
The respondent denied the claim based on an insurer's examination by an orthopaedic surgeon who concluded the treatment was not reasonable and necessary.
The Tribunal dismissed the application, finding the applicant failed to provide sufficient medical evidence to support the treatment plan and that the respondent did not engage in unfair practices or unreasonably delay the claim.
