Application for occupational therapy benefits dismissed as applicant failed to prove treatment was reasonable and necessary.
The applicant was involved in a motor vehicle accident and sought $2,170.28 for an occupational therapy treatment plan under the Statutory Accident Benefits Schedule.
The respondent denied the benefit, relying on insurer's examinations which concluded the applicant had reached maximum medical recovery and that further treatment was not reasonable or necessary.
The Tribunal found that the applicant failed to provide compelling medical evidence to establish the treatment plan was reasonable and necessary, noting that the applicant's chiropractor was not qualified to diagnose chronic pain syndrome.
The application was dismissed, and no interest was awarded.
OLATOntario Licence Appeal TribunalFeb 24, 2023
