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Applicant v. Aviva General Insurance (17-008268)

  • October 24, 2018

The claimant sought entitlement to a chronic pain assessment. Adjudicator Ferguson held that the claimant failed to prove entitlement. He noted that the claimant was not diagnosed with chronic pain by any independent medical assessors, nor had the risk of chronic pain been raised with any independent assessors. The claimant also failed to explain why a chronic pain assessment was reasonable and necessary when the claimant still had physiotherapy and psychological services available to him which he had not pursued.

Full decision here

TGP Analysis

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  • FILED UNDER Medical Benefits
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