Arbitrator reduced excessive clinic fees and treatment frequency for accident benefits claim following tibia fracture.
The applicant was struck by a vehicle and sustained a fractured tibia.
She sought statutory accident benefits for chiropractic and active rehabilitation therapy.
The insurer disputed the reasonableness of the treatment and the fees charged by the clinics.
The arbitrator found that the treatment was reasonable and necessary to assist in the applicant's recovery, but determined that the frequency and duration of the treatments, as well as the fees charged by the clinics, were excessive.
The arbitrator reduced the compensable sessions and the hourly rates, awarding $1,080.50 for chiropractic expenses and $635 for rehabilitation expenses, plus interest.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesNov 16, 2001