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J.M. v. Certas Home & Auto Insurance Company (18-001153)

  • February 7, 2019

The claimant sought entitlement to two medical benefits. The claimant also sought to add a new medical benefits claim as part of a written hearing. Adjudicator Punyarthi permitted the issue to be added, but held that it was not payable because a treatment plan had never been submitted in relation to the incurred treatment. The two medical benefits for physical therapy that were originally part of the dispute were not awarded because the claimant failed to demonstrate that passive treatment was warranted for her injuries.

Full decision here

TGP Analysis

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  • FILED UNDER Medical Benefits, LAT Rules
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