Application for medical benefits dismissed; treatments found not reasonable and necessary.
The applicant sought medical benefits for physiotherapy, massage, chiropractic treatment, and a mattress topper following a motor vehicle accident.
The respondent denied the benefits.
As a preliminary issue, the adjudicator admitted the applicant's late-filed clinical notes, finding no breach of procedural fairness.
On the merits, the adjudicator dismissed the application, finding the treatments were not reasonable and necessary based on imaging results, clinical notes showing no improvement, and the respondent's insurer examination report.
OLATOntario Licence Appeal TribunalJan 13, 2020
