Insurer ordered to pay for six treatment plans; surveillance evidence did not undermine applicant's pain reports.
The applicant was injured in two motor vehicle accidents and sought payment for six treatment plans for chiropractic services and massage therapy.
The respondent insurer denied the treatment plans, arguing the injuries were minor and did not require further facility-based treatment, relying on surveillance evidence and an independent medical examination.
The adjudicator found that the applicant suffered a chronic impairment to her thoracic spine and that the proposed treatments were reasonable and necessary to relieve pain and improve function.
The surveillance evidence did not undermine the applicant's credibility regarding her pain.
The insurer was ordered to pay for all six treatment plans.
OLATOntario Licence Appeal TribunalDec 1, 2016
