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A.A.J. v. Echelon General Insurance Company (19-000961)

  • July 3, 2020

The claimant sought entitlement to IRBs for a one month period when he was in non-compliance with IE requests, and a treatment plan for chiropractic services. Adjudicator Boyce rejected all of the excuses provided by the claimant for his non-attendance as being unreasonable or not believable. The insurer rescheduled the IEs on multiple occasions and the claimant was provided with notices to the address on his OCF-1 and to his counsel. The treatment plan was found not reasonable and necessary based on the opinions of IE assessors.

Full decision here

TGP Analysis

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  • FILED UNDER Income Replacement Benefits, Medical Benefits
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