Tribunal approves chronic pain and physiatry assessments but denies psychological and functional evaluations.
The applicant sought various medical assessments following a 2010 motor vehicle accident.
The respondent insurer denied the assessments.
The Licence Appeal Tribunal found that the chronic pain and physiatry assessments were reasonably required due to consistent medical evidence of ongoing ankle pain and the risk of progressive osteoarthritis.
However, the Tribunal dismissed the claims for work site, psychological, attendant care, and function and impairment assessments, finding insufficient evidence to support their necessity, particularly given the applicant's independence in self-care and lack of documented psychological symptoms prior to 2014.
Interest was awarded on the overdue payments for the approved assessments.
OLATOntario Licence Appeal TribunalApr 23, 2018
