Application for chiropractic treatment plan dismissed as unsupported by medical evidence and not reasonable and necessary.
The applicant sought a medical benefit of $2,004.96 for a chiropractic treatment plan following a motor vehicle accident.
The respondent insurer denied the claim based on a section 44 assessment by a chiropractor who concluded the applicant no longer suffered from an accident-related impairment.
The Licence Appeal Tribunal dismissed the application, finding that the impairments listed in the treatment plan were unsupported by medical evidence and that the uncontradicted opinion of the respondent's assessor was persuasive.
The Tribunal concluded the treatment plan was not reasonable and necessary.
OLATOntario Licence Appeal TribunalFeb 14, 2019