Application for chronic pain program funding dismissed as applicant failed to prove it was reasonable and necessary.
The applicant sought $12,580.00 for a multidisciplinary chronic pain program following a 2015 motor vehicle accident.
The respondent denied the treatment plan, arguing the applicant's current pain complaints were not accident-related and she had reached maximum medical recovery.
The Tribunal found the proposed program lacked specificity and the applicant failed to prove it was reasonable and necessary.
The Tribunal also noted inconsistencies in the applicant's reporting of her injuries and preferred the respondent's medical evidence, which concluded the applicant had achieved maximum medical improvement.
The application was dismissed.
OLATOntario Licence Appeal TribunalJul 13, 2021
