The applicant was injured in a motor vehicle accident and sought payment for an orthopaedic assessment.
The respondent insurer denied the treatment plan, relying on an insurer's examination which concluded the assessment was not reasonable and necessary because the applicant was already being treated by an orthopaedic surgeon.
The Tribunal found the applicant's reports of pain were consistent and credible, and that the treating surgeon was only addressing her knee issues, not her whole-body pain.
The Tribunal concluded the orthopaedic assessment was reasonable and necessary to identify the source of her impairments and awarded the cost of $2,260.00 plus interest.
