Applicant awarded outstanding balances for psychological treatment due to defective notice, but denied chiropractic and attendant care benefits.
The applicant sought statutory accident benefits following a motor vehicle accident.
The respondent denied several treatment plans, and the applicant argued the denials were procedurally defective under the Schedule.
The Tribunal found the respondent's initial notices for two psychological treatment plans were non-compliant, entitling the applicant to the outstanding balances incurred during the period of non-compliance.
However, the Tribunal dismissed the claims for chiropractic treatment and an attendant care assessment, finding the applicant failed to prove the chiropractic treatment was reasonable and necessary, and that the attendant care assessment was improperly incurred prior to the submission of the treatment plan.
OLATOntario Licence Appeal TribunalApr 20, 2023
