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Applicant v Motor Vehicle Accident Claims Fund (17-007244)

  • August 29, 2018

The claimant sought medical benefits for physical rehabilitation and chiropractic services, and interest on the overdue payment of benefits. Adjudicator Pinto held that the treatment plans in dispute were not reasonable and necessary and that there was insufficient objective medical evidence to support the treatment plans. Adjudicator Pinto preferred the insurer’s evidence that the claimant, from a musculoskeletal perspective, had attained maximal medical recovery from any facility-based treatment.

Full decision here

TGP Analysis

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  • FILED UNDER Medical Benefits
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