Medical benefits for physiotherapy and chiropractic treatment denied as applicant reached maximum medical recovery.
The applicant sought medical benefits for chiropractic treatment and physiotherapy following a motor vehicle accident.
The insurer denied the treatment plans, arguing the applicant had reached maximum medical recovery and that further passive modalities were not reasonable and necessary.
The Licence Appeal Tribunal agreed with the insurer, finding that the applicant had returned to a high degree of pre-accident function and failed to provide clinical evidence showing the proposed treatments would be effective in reducing her pain or impairment.
The appeal was dismissed.
OLATOntario Licence Appeal TribunalDec 13, 2018