The claimant was catastrophically impaired. An assessment of attendant care needs yielded a monthly rate beyond the statutory maximum. The insurer agreed to pay up to the statutory maximum; however, invoices showed services incurred for less and therefore only the amounts on submitted invoices were paid. The claimant argued that once an economic loss was established, the entire value of the Form 1 was payable. Adjudicator Purdy concluded that the insurer is only liable to pay the attendant care amounts that have been incurred by the applicant. Additionally, treatment plans for both a neuropsychological assessment and neuropsychometric testing were, in fact, one large assessment that would produce two reports – it was therefore subject to the maximum $2,000.00 maximum cap for assessments.
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