Dr. Lawrence Walters

The applicant was injured in a motor vehicle accident and sought payment for a chronic pain assessment and two physiotherapy treatment plans under the Statutory Accident Benefits Schedule.

The respondent insurer denied the benefits.

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 insurer's examination physician over the applicant's assessor, noting that the applicant's reports of pain were inconsistent and uncorroborated by contemporaneous clinical notes and records.

The applicant sought statutory accident benefits following a motor vehicle accident.

The respondent denied the benefits on the basis that the applicant's injuries fell within the Minor Injury Guideline (MIG) and the $3,500 limit had been exhausted.

The applicant argued for removal from the MIG due to chronic pain and psychological impairments.

The Tribunal found the applicant failed to provide compelling medical evidence to support removal from the MIG, noting illegible clinical notes and a lack of corroborating evidence beyond self-reports.

The application was dismissed as the MIG limit was exhausted.