Physiotherapy treatment plan approved; Tribunal preferred treating practitioners' recommendations over insurer's examination report.
The applicant was injured in a motor vehicle accident and sought approval for a physiotherapy treatment plan costing $3,927.98, which the respondent insurer denied.
The respondent relied on an insurer's examination report suggesting the applicant had not responded to facility-based treatment.
The Tribunal found the treatment plan reasonable and necessary, preferring the recommendations of the applicant's treating practitioners and independent assessor who supported ongoing physical treatment.
The Tribunal ordered the respondent to pay for the treatment plan along with applicable interest.
OLATOntario Licence Appeal TribunalApr 4, 2022
