Dr. Prigozhikh

The applicant sought various statutory accident benefits following a motor vehicle accident, including treatment plans for chiropractic services, psychotherapy, a neurological assessment, a chronic pain assessment, and physiotherapy.

The respondent denied the benefits.

The Licence Appeal Tribunal found that the applicant failed to prove on a balance of probabilities that any of the disputed treatment plans or assessments were reasonable and necessary.

The medical evidence, including independent medical evaluations and the applicant's own expert reports, largely recommended home-based exercises and did not support the need for the proposed facility-based treatments or specialized assessments.

The application was dismissed in its entirety.

The applicant sought statutory accident benefits following a rear-end motor vehicle accident, disputing the insurer's determination that her injuries fell within the Minor Injury Guideline (MIG).

The applicant claimed exemptions from the MIG based on neurological issues, psychological impairment, pre-existing conditions, and chronic pain.

The adjudicator found that the applicant's physical injuries were soft tissue in nature and that she failed to establish any psychological or neurological diagnosis, pre-existing condition, or functionally disabling chronic pain that would warrant removal from the MIG.

As the applicant had exhausted the $3,500 MIG limit, her claim for a $3,948.91 physiotherapy treatment plan and interest was dismissed.

The applicant sought entitlement to statutory accident benefits for a chronic pain assessment and a neurological assessment following a 2015 motor vehicle accident.

The Licence Appeal Tribunal dismissed the application, finding that the applicant failed to prove the assessments were reasonable and necessary.

The Tribunal preferred the evidence of the respondent's medical examiners, which indicated the applicant's injuries were manageable with soft tissue interventions and that his neurological symptoms were likely unrelated to the accident.

The Tribunal also found the respondent's denial notices complied with the requirements of the Schedule.