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Application for psychological services dismissed; insurer's denial notice complied with s. 38(8) of the Schedule.
The applicant sought payment for a psychological services treatment plan under the Statutory Accident Benefits Schedule following a motor vehicle accident.
The applicant argued that the respondent's denial notice was deficient under s. 38(8) of the Schedule.
The Tribunal found that the respondent's Explanation of Benefits complied with the notice requirements by clearly indicating partial approval and referencing an insurer's examination report for the medical reasons.
The claims for the treatment plan, interest, and an award were dismissed.
The respondent's request for costs due to the applicant's late and lengthy submissions was also dismissed, as the conduct did not meet the high threshold for costs.
