Application for accident benefits dismissed; disputed chiropractic and rehabilitation expenses found not reasonable or necessary.
The applicant was injured in a motor vehicle accident and sought payment for chiropractic and rehabilitation expenses incurred after the insurer terminated benefits based on a Designated Assessment Centre report.
The arbitrator found that the applicant was motivated to exercise on her own and did not require the supervised rehabilitation program, which was billed at an excessive hourly rate.
Furthermore, the arbitrator found no persuasive evidence that the continued chiropractic treatment was reasonable or necessary, noting that the treating chiropractor had not discussed the need for further treatment with the applicant.
The application for arbitration was dismissed.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesDec 17, 1999
