Application for accident benefits dismissed as applicant failed to provide objective medical evidence supporting treatment plans.
The applicant was injured in a motor vehicle accident and sought medical benefits for exercise equipment, assistive devices, a chronic pain assessment, and chiropractic services under the Statutory Accident Benefits Schedule.
The respondent insurer denied the benefits.
The Licence Appeal Tribunal dismissed the application, finding that the applicant relied solely on self-reporting of pain without corroborating medical documentation.
The Tribunal preferred the evidence of the respondent's insurer examination assessors, who concluded that the requested treatments and assessments were not reasonable and necessary.
As no benefits were payable, the claims for interest and an award were also dismissed.
OLATOntario Licence Appeal TribunalSep 28, 2018
