2 total
Application for statutory accident benefits dismissed as chiropractic treatment plans were not reasonable and necessary.
The applicant sought statutory accident benefits for two chiropractic treatment plans totaling $8,320.00 following a motor vehicle accident.
The insurer denied the claims, arguing the treatments were not reasonable and necessary.
The Licence Appeal Tribunal found that the applicant predominantly suffered psychological injuries rather than the claimed neurological and concussion-related injuries.
Relying on the insurer's medical examinations, the Tribunal concluded the disputed treatment plans were not reasonable and necessary.
The application was dismissed.
Application for accident benefits dismissed; chiropractic treatment plans for alleged concussion and WAD 3 not reasonable and necessary.
The applicant sought statutory accident benefits for two chiropractic treatment plans totaling $8,320, claiming she suffered post-concussion syndrome and a WAD 3 injury from a motor vehicle accident.
The insurer denied the benefits.
The Licence Appeal Tribunal dismissed the application, finding the treatment plans were not reasonable and necessary.
The Tribunal preferred the insurer's medical examinations, which found no neurological signs or concussion related to the accident, over the applicant's medical reports, which lacked objective testing and were temporally removed from the treatment plans.
No co-appearing lawyers found.
No judges found.