3 total
Application for the outstanding balance of a psychological assessment fee dismissed for lack of justification.
The applicant sought payment of $503.90, representing the denied balance of a $2,200.00 psychological assessment proposed following a motor vehicle accident.
The respondent had partially approved the treatment plan based on a paper review by its psychological expert, who opined that the proposed cost was excessive and that the assessment could be completed for $1,696.10.
The Tribunal found that the applicant failed to discharge the onus of proving the full amount claimed was reasonable and necessary, as no particulars were provided to justify the maximum fee.
The application was dismissed, along with claims for interest and an award.
Applicant awarded ongoing income replacement benefits due to chronic pain but denied attendant care and medical benefits.
The applicant sought income replacement benefits (IRBs), attendant care benefits, and medical benefits following a motor vehicle accident.
The Tribunal found that the applicant met both the Pre-104 and Post-104 IRB tests due to chronic pain and depression preventing her from returning to her pre-accident employment as a cook, despite her part-time accommodated work at an assisted living residence.
The Tribunal dismissed the claims for attendant care and medical benefits, finding the applicant independent in personal care and no longer in need of the requested assistive devices or occupational therapy.
The applicant was awarded IRBs with deductions for her part-time income, plus interest, but no special award was granted.
The Tribunal found the applicant met both the pre-104 and post-104 week tests for IRBs due to chronic pain and depression, which prevented her from returning to her pre-accident employment as a cook.
However, the Tribunal denied the claims for attendant care and medical benefits, finding the applicant was independent in her personal care and had not utilized previously approved occupational therapy sessions.
The applicant was awarded IRBs subject to deductions for post-accident income, along with applicable interest, but no special award was granted.
No co-appearing lawyers found.
No judges found.