Dr. Dimitrios Polyvos

The applicant sought statutory accident benefits following a motor vehicle accident.

The insurer denied payment for psychological services, arguing the provider failed to comply with an information request, and denied two chiropractic treatment plans as not reasonable and necessary.

The Tribunal found it had jurisdiction over the psychological services dispute and ordered payment, finding the provider had sufficiently complied with the information request.

The Tribunal dismissed the claims for chiropractic services, finding the applicant's injuries had resolved.

The Tribunal also granted a 25% award under Regulation 664 against the insurer for unreasonably delaying payment of the psychological services invoice.

The applicant sought statutory accident benefits following a motor vehicle accident, including medical benefits, housekeeping expenses, and a special award.

Despite the applicant's failure to attend the hearing, his counsel proceeded.

The arbitrator dismissed the claims for medical benefits, preferring the evidence of the insurer's medical experts who conducted physical examinations over the applicant's expert who only performed a paper review.

The arbitrator also found that the treatment facility had overbilled for the duration of sessions.

The claims for housekeeping and a special award were dismissed due to lack of evidence and the finding that no benefits were unreasonably withheld.

The insurer was awarded its arbitration expenses.