Insurer ordered to pay for physiotherapy treatment deemed reasonable prior to receipt of DAC report.
The applicant was injured in a head-on motor vehicle collision and sought payment for physiotherapy treatment at Recovery Rehab.
The insurer refused to pay the full amount, arguing the treatment was excessive and relying on a DAC assessment that concluded the treatment was not reasonable or necessary.
The arbitrator found that the treatment was reasonable up to the date the DAC report was received, as the applicant's severe psychological symptoms warranted a halt in physiotherapy pending psychiatric treatment.
The arbitrator also found the clinic's $100 per session fee to be reasonable.
The insurer was ordered to pay the outstanding account for the reasonable sessions and the applicant's arbitration expenses.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesDec 13, 2000
