2 total
Application for accident benefits dismissed as proposed treatments and catastrophic assessment were not reasonable and necessary.
The applicant sought entitlement to statutory accident benefits following a motor vehicle accident, including costs for a catastrophic impairment assessment, chiropractic treatment plans, and a psychological assessment.
The Tribunal found that the applicant failed to prove the proposed treatments and assessments were reasonable and necessary, noting the minor nature of the physical injuries, the applicant's return to work and daily activities, and the unreliability of the applicant's medical reports.
The application was dismissed in its entirety, with no interest or special award payable.
Application for $25,779 CAT assessment dismissed as constituent assessments were not reasonable and necessary.
The applicant sought payment for a multidisciplinary catastrophic impairment (CAT) assessment totaling $25,779.25 following a 2013 motor vehicle accident.
The Tribunal held that entitlement to a CAT assessment is a qualified right governed by section 15 of the Schedule, requiring each constituent assessment to be reasonable and necessary, rather than a substantive right under section 25.
Reviewing the medical evidence, the Tribunal found the applicant displayed normal range of motion, functioned independently, and had minimal ongoing treatment, which was inconsistent with the severity of impairment required for a CAT designation.
The application was dismissed, along with claims for interest and a special award.
No co-appearing lawyers found.
No judges found.