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Application for accident benefits dismissed as treatment and assessment plans were not reasonable and necessary.
The applicant sought statutory accident benefits for chiropractic treatment and an orthopedic assessment following a 2015 motor vehicle accident.
The Licence Appeal Tribunal dismissed the application, finding the chiropractic treatment plan was not reasonable and necessary due to a lack of supportive medical evidence, the applicant's failure to disclose a subsequent accident to the insurer's assessors, and her failure to utilize previously approved treatment.
The cost of the orthopedic assessment was also denied because the treatment plan lacked detail and the assessor's conclusions were unsupported by his physical examination findings.
Claims for interest and a special award were consequently dismissed.
