The applicant sought statutory accident benefits following a motor vehicle accident, specifically claiming costs for an orthopedic assessment and a treatment plan for physiotherapy and massage.
The respondent insurer denied the claims based on an insurer's examination (IE) by an orthopedic surgeon, who concluded the treatments were not reasonable or necessary.
The Licence Appeal Tribunal dismissed the appeal, finding the applicant failed to provide sufficient medical evidence to prove the treatment plans were reasonable and necessary, and accepted the respondent's IE report.
As no benefits were payable, the claim for interest was also dismissed.
