Application for statutory accident benefits dismissed as applicant failed to prove treatment plans were reasonable and necessary.
The applicant was injured in a motor vehicle accident and sought various medical and rehabilitation benefits under the Statutory Accident Benefits Schedule.
The insurer denied several treatment plans on the basis that they were not reasonable and necessary.
The Licence Appeal Tribunal found that the applicant failed to provide a persuasive analysis or sufficient medical evidence to establish that the disputed treatment plans were reasonable and necessary.
The Tribunal preferred the insurer's section 44 examination evidence, which concluded the applicant sustained uncomplicated soft tissue injuries requiring no further facility-based care.
The application was dismissed.
OLATOntario Licence Appeal TribunalNov 15, 2017
