Application for chiropractic benefits dismissed as the treatment plan was not proven reasonable and necessary.
The applicant sought statutory accident benefits for a chiropractic treatment plan following a motor vehicle accident.
The insurer denied the benefits on the basis that the treatment was not reasonable and necessary.
The Licence Appeal Tribunal found that the applicant failed to establish that the treatment plan was reasonable and necessary, noting that the applicant's medical evidence did not sufficiently support the need for the specific chiropractic services requested, especially given clinical notes indicating the applicant was golfing regularly and had a normal shoulder.
The application was dismissed.
OLATOntario Licence Appeal TribunalJul 23, 2018
