Application for physical therapy benefits dismissed as treatment was not reasonable and necessary seven years post-accident.
The applicant was injured in a motor vehicle accident in 2007 and sought payment for a physical therapy treatment plan proposed in 2014.
The insurer denied the claim based on an insurer's examination which concluded that the applicant had already received appropriate facility-based treatment and required no further treatment.
The Licence Appeal Tribunal found that the applicant's medical evidence was outdated and insufficient to prove that the proposed treatment was reasonable and necessary seven years post-accident.
The application for the medical benefit was dismissed.
OLATOntario Licence Appeal TribunalNov 21, 2017
