Claim for chronic pain assessment granted; claims for physiotherapy and enhanced social worker rates denied.
The applicant sought statutory accident benefits following a motor vehicle accident.
The respondent denied several treatment plans, leading the applicant to apply to the Licence Appeal Tribunal.
The Tribunal dismissed the claims for the outstanding balances of two psychological treatment plans, finding the applicant failed to justify an enhanced hourly rate for a social worker.
The Tribunal also dismissed the claim for physiotherapy services, as the medical evidence did not support physical impairments requiring such treatment.
However, the Tribunal granted the claim for a chronic pain assessment, relying on medical evidence from an orthopaedic surgeon and a psychiatrist diagnosing the applicant with chronic pain syndrome.
The applicant was also awarded interest on overdue payments.
OLATOntario Licence Appeal TribunalJun 4, 2024
