Dr. Raymond John Zabieliauskas

The applicant sought statutory accident benefits following a motor vehicle accident, specifically claiming the unapproved balance of a treatment plan for psychological services and funding for a catastrophic impairment assessment.

The insurer partially denied the psychological services plan on the basis that the proposed hourly rate for a social worker exceeded the maximum permitted under the Professional Services Guideline, and denied the catastrophic assessment plan.

The Tribunal found that the insurer's denial letter complied with the notice requirements under s. 38(8) of the Schedule.

The Tribunal further held that the applicant failed to prove the unapproved psychological services were reasonable and necessary, and failed to demonstrate that her impairments warranted further investigation for a possible catastrophic impairment.

The application was dismissed.

The applicant sought statutory accident benefits following a motor vehicle accident, including funding for chiropractic services, a concussion assessment, a psychological assessment, and attendant care assessments.

The insurer denied the treatment plans.

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

The medical evidence indicated the applicant's accident-related injuries were primarily soft tissue strains that had resolved, and her ongoing complaints were attributed to a subsequent fall at home.

The application was dismissed, and claims for interest and a special award were denied.