Arbitrator reduced clinic's treatment and assessment fees due to unreliable evidence and missing documentation.
The applicant was injured in a motor vehicle accident and sought payment for medical benefits and assessment costs from his insurer, related to treatments at a clinic.
The insurer disputed the amounts billed, arguing they were excessive and did not reflect the actual treatments provided.
The arbitrator found the applicant's evidence unreliable and noted the clinic's failure to produce key documents.
The arbitrator largely accepted the insurer's position on the appropriate fees for the services rendered, awarding a reduced amount for massage therapy, adhesive pads, and one reassessment, while denying the costs of an in-home assessment and other reports.
Both parties' claims for arbitration expenses were dismissed.
OFSCDRSOntario Financial Services Commission - Dispute Resolution ServicesAug 6, 2002
