Claims for chronic pain assessment and program denied as not reasonable and necessary.
The applicant sought entitlement to statutory accident benefits following a motor vehicle accident, specifically claiming costs for a chronic pain assessment and a chronic pain program.
The Tribunal found that the treatment plans were not reasonable and necessary, preferring the recent insurer's examination report over the applicant's older medical report.
The Tribunal noted the applicant was fully functional, working full-time, and had not utilized previously approved treatment.
The application was dismissed, and claims for interest and a special award were denied.
OLATOntario Licence Appeal TribunalSep 12, 2023