2 total
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.
Application for chiropractic and attendant care benefits dismissed for lack of supporting medical evidence.
The applicant sought statutory accident benefits for two chiropractic treatment plans and an attendant care assessment following a motor vehicle accident.
The insurer denied the plans.
The Licence Appeal Tribunal found that the applicant failed to provide sufficient medical evidence to prove the plans were reasonable and necessary, noting the applicant's own reports of functional independence to the insurer's examiners.
The Tribunal accepted the insurer's medical evidence that further treatment was not required.
The application was dismissed.
No co-appearing lawyers found.
No judges found.