Applicant v. Aviva General Insurance (17-001178)

The claimant sought entitlement to a psychological treatment plan. The insurer denied the treatment plan and cited a psychological insurer’s examination report as justification. Adjudicator Christopher Ferguson reviewed the medical reports on both sides and noted contradictions in the claimant’s self-reporting. The insurer’s evidence was considered more credible and the treatment plan was deemed not payable.