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Applicant v. Aviva Insurance (16-002568)

  • November 24, 2017

The claimant sought entitlement to a chronic pain program and an orthopaedic assessment. Adjudicator Hans awarded both benefits and wrote that he preferred the evidence from the claimant’s experts over the opinions of the insurer’s experts. In particular, he found the claimant’s experts’ reports to be more thorough in analysis and recommendation. He also did not find the surveillance persuasive as it was taken more than six months after IE assessments.

Full decision here

TGP Analysis

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  • FILED UNDER Medical Benefits
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