Application for chiropractic benefits dismissed as applicant failed to prove treatment was reasonable and necessary.
The applicant sought a medical benefit of $3,405.00 for 75 chiropractic sessions following a motor vehicle accident.
The respondent denied the treatment plan based on an insurer's examination by a physiatrist.
The Tribunal found the applicant failed to prove the treatment was reasonable and necessary, noting the lack of medical evidence explaining the need for the specific treatment and the applicant's own reports of only temporary relief.
The Tribunal also rejected the applicant's argument that an allegedly deficient denial notice under s. 38(14) of the Schedule triggered a mandatory payment obligation under s. 38(11).
The application for benefits, interest, and an award was dismissed.
OLATOntario Licence Appeal TribunalFeb 26, 2024
