Application for accident benefits dismissed as applicant failed to prove treatment plans were reasonable and necessary.
The applicant sought payment for various treatment plans, including chiropractic services, a brain SPECT scan, medical services, and physiotherapy, following a motor vehicle accident.
The Licence Appeal Tribunal dismissed the application, finding that the applicant failed to prove the treatment plans were reasonable and necessary.
The Tribunal preferred the evidence of the respondent's insurer's examination over the applicant's medical reports, noting the lack of physical examinations or detailed explanations of rehabilitative benefits in the applicant's evidence.
Furthermore, the treatment plans themselves were not entered into evidence.
OLATOntario Licence Appeal TribunalJan 18, 2024