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Applicant v. Allstate Canada (16-004348)

  • March 16, 2018

The claimant sought entitlement to two treatment plans for chiropractic services. Adjudicator White held that the claimant was not entitled to the recommendations proposed in the treatment plans in dispute. The claimant did not meet her onus in establishing the reasonableness or necessity of the plans. There was no evidence that the claimant had benefitted substantially from the many months of treatment she received. As a result, further facility based, largely passive treatment was not reasonable or necessary.

Full decision here

TGP Analysis

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  • FILED UNDER Medical Benefits
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