Application for accident benefits dismissed as applicant failed to prove treatment plans were reasonable and necessary.
The applicant sought dispute resolution services after the respondent insurer denied several treatment plans for chiropractic care, a chronic pain program, and an attendant care assessment following a motor vehicle accident.
The adjudicator found that the applicant failed to meet the onus of proving the proposed treatments were reasonable and necessary, noting that the applicant's evidence did not link the treatment plans to specific rehabilitation goals or address the insurer's examination reports.
The application was dismissed and no interest was awarded.
OLATOntario Licence Appeal TribunalAug 3, 2018
