2 total
Medical benefits for chiropractic treatment awarded; claims for caregiver and housekeeping benefits dismissed.
The applicant was injured in a motor vehicle accident and sought statutory accident benefits, including medical, caregiver, and housekeeping benefits.
The insurer denied certain treatment plans and terminated the weekly benefits.
The arbitrator found that the chiropractic treatment incurred up to June 30, 2005, was reasonable and necessary, awarding $2,509.00 for medical benefits.
However, the claims for caregiver and housekeeping benefits were dismissed, as the applicant was not the primary caregiver and any substantial inability to perform housekeeping tasks had resolved prior to the termination of benefits.
Accident benefits claims dismissed due to lack of credible medical evidence; applicant ordered to repay missed assessment fee.
The applicant sought statutory accident benefits following a motor vehicle accident.
The insurer denied claims for medical and rehabilitation benefits, housekeeping benefits, and assessment costs.
The arbitrator dismissed the applicant's claims, finding her evidence regarding the necessity of treatments and assessments lacked credibility and was contradicted by independent DAC assessments.
The arbitrator also ordered the applicant to repay the insurer for a missed DAC appointment, rejecting her explanation that she did not open her mail.
No co-appearing lawyers found.
No judges found.