The applicant sought statutory accident benefits following a motor vehicle accident.
The insurer denied two treatment plans for a neurocognitive assessment and a psychological assessment, arguing they were duplicative and subject to the $2,000 statutory cap for a single assessment under s. 25(5)(a) of the Schedule.
The Tribunal found that the two assessments, although contained within the same report, were distinct, stand-alone evaluations addressing separate cognitive and psychological impairments.
The Tribunal ordered the insurer to pay the outstanding $2,200.00 for the assessments, plus interest.
