Application for accident benefits dismissed as applicant failed to prove treatment plans were reasonable and necessary.
The applicant sought payment for several treatment plans and assessments following a motor vehicle accident, which the respondent insurer denied.
The Licence Appeal Tribunal found that the applicant failed to provide sufficient medical evidence to prove the treatment plans were reasonable and necessary.
The Tribunal preferred the evidence of the insurer's assessors, who concluded the physical injuries were minor and had largely resolved, and that there was no objective evidence linking the applicant's psychological issues to chronic physical pain.
The application was dismissed.
OLATOntario Licence Appeal TribunalOct 26, 2017