Dr. Mohammed Khaled

The applicant sought statutory accident benefits following a 2019 motor vehicle accident, specifically a $19,097.00 treatment plan for a catastrophic impairment (CAT) assessment and an award for unreasonable delay.

The Tribunal found the applicant was entitled to $9,266.00 for the CAT assessment, approving the physiatry, psychiatry, and occupational therapy components, but denying duplicative or premature elements like the intake assessment and OCF-19 completion.

The Tribunal admitted several late or disputed medical reports, finding them relevant and not prejudicial.

The claim for a special award was dismissed as the insurer's denial was not unreasonable, though interest was awarded on the overdue assessment costs.

The applicant was injured in a motor vehicle accident and sought statutory accident benefits for chiropractic, physiotherapy, and an in-home occupational therapy assessment.

The respondent insurer denied the treatment plans on the basis that they were not reasonable and necessary, relying on insurer examinations which concluded the applicant had reached maximum medical recovery from soft tissue injuries.

The Tribunal agreed with the insurer, finding that the applicant had received adequate treatment and failed to provide compelling medical evidence to support the need for further therapy or an in-home assessment.

The application was dismissed, and no interest was payable.