Psychological assessment approved but chiropractic treatment denied in accident benefits dispute.
The applicant was injured in a motor vehicle accident and sought statutory accident benefits for chiropractic services and a psychological assessment.
The respondent insurer denied the treatment plans.
The adjudicator found that the applicant failed to meet her burden of proving the chiropractic treatment plan was reasonable and necessary, as the submitted evidence was not contemporaneous and lacked specific goals.
However, the adjudicator approved the psychological assessment, preferring the evidence of the applicant's assessors over the insurer's examiner, finding it necessary to evaluate the exacerbation of the applicant's pre-existing psychological conditions.
The applicant was also awarded interest on the overdue payment for the psychological assessment.
OLATOntario Licence Appeal TribunalMay 1, 2025
