The applicant sought various statutory accident benefits following a motor vehicle accident, arguing that the respondent insurer failed to properly deny the treatment plans and was therefore liable to pay for them.
The Tribunal found that the respondent failed to provide proper medical reasons for denying the claims for chiropractic services, physiotherapy and massage therapy, and a chronic pain assessment, rendering it liable for expenses incurred under those plans during the periods of non-compliance.
The claims for attendant care benefits, assistive devices, a concussion assessment, and a neurological assessment were dismissed as the applicant failed to prove they were reasonable and necessary or the respondent had provided proper denials.