Arbitrator dismissed claims for chiropractic treatment plans, finding them unreasonable, unnecessary, and improperly billed.
The applicant was injured in a motor vehicle accident and sought payment for three chiropractic treatment plans under the Statutory Accident Benefits Schedule.
The insurer denied the plans, and the applicant applied for arbitration.
The arbitrator dismissed the application, finding that the treatment plans were neither reasonable nor necessary.
The arbitrator noted that the chiropractor's billing practices were invalid, the proposed 52-week plan violated professional guidelines, and the passive, palliative care was deemed harmful by other medical assessors.
The arbitrator also dismissed the claim for a special award, finding no bad faith by the insurer, and ordered each party to bear their own expenses.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesMar 19, 2007
