Physiotherapy treatment plan denied as not reasonable and necessary due to lack of improvement and treatment gaps.
The applicant was injured in a motor vehicle accident and sought funding for a physiotherapy treatment plan in the amount of $3,078.72.
The respondent denied the treatment plan.
The Licence Appeal Tribunal found that the treatment plan was not reasonable and necessary, noting significant gaps in the applicant's treatment history and a lack of improvement despite previous facility-based treatment.
The Tribunal accepted the respondent's medical examination evidence that the applicant had reached maximum medical improvement and could manage her symptoms with a home-based exercise program.
The claims for an award and interest were also dismissed.
OLATOntario Licence Appeal TribunalApr 8, 2020
