Application for orthopaedic assessments dismissed as applicant failed to prove they were reasonable and necessary.
The applicant was injured in a motor vehicle accident and sought payment for two orthopaedic assessments under the Statutory Accident Benefits Schedule.
The insurer denied the treatment plans.
The Licence Appeal Tribunal found that the applicant failed to prove the assessments were reasonable and necessary, noting the absence of the actual treatment plans in evidence and preferring the insurer's medical evidence that the applicant suffered only soft tissue injuries.
The appeal was dismissed.
OLATOntario Licence Appeal TribunalJan 16, 2018
