Application for accident benefits dismissed as applicant failed to prove treatment plans were reasonable and necessary.
The applicant, a minor, was injured in a motor vehicle accident and sought medical benefits for occupational therapy, an orthopaedic assessment, and chiropractic services under the Statutory Accident Benefits Schedule.
The respondent insurer denied the treatment plans, arguing the applicant's physical impairments had fully healed.
The Licence Appeal Tribunal found that the applicant failed to prove the treatment plans were reasonable and necessary, noting inconsistencies in the medical evidence and relying on an insurer's examination which concluded the physical impairments had resolved.
The application was dismissed.
OLATOntario Licence Appeal TribunalJun 9, 2020
