Tribunal orders payment of approved benefits but dismisses claims for further treatment as not reasonable and necessary.
The applicant sought statutory accident benefits following a motor vehicle accident.
The respondent denied several treatment plans and withheld payment for approved services, arguing the service provider failed to provide requested information.
The Tribunal found it had jurisdiction to hear the dispute over withheld payments and ordered the respondent to pay the approved amounts, less $400 for unexplained supplementary goods.
The Tribunal dismissed the applicant's claims for further physiotherapy, a social work assessment, and disability certificates, finding them not reasonable and necessary.
Claims for an award and interest were also dismissed.
OLATOntario Licence Appeal TribunalApr 27, 2023
