Claim for chiropractic benefits dismissed as applicant failed to prove treatment was reasonable and necessary.
The applicant sought a medical benefit of $3,483.14 for chiropractic services following a motor vehicle accident.
The respondent denied the treatment plan, relying on an insurer's examination which concluded the applicant's soft tissue injuries were treatable within the Minor Injury Guideline and that maximum medical recovery had been reached.
The Tribunal found the applicant's expert reports did not specifically address the disputed treatment plan or were outside the assessor's area of expertise.
The Tribunal concluded the treatment plan was not reasonable and necessary, and dismissed the claims for the medical benefit, an award for unreasonable delay, and interest.
OLATOntario Licence Appeal TribunalJun 4, 2019
