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Applicant v. Wawanesa Mutual Insurance Company (17-005887)

  • July 17, 2018

The claimant (who was represented by a litigation guardian due to pre-existing mental disability) sought entitlement to six treatment plans for physical therapy. Adjudicator Watt concluded that the therapy was not reasonable and necessary. The claimant had been receiving similar treatment for four years and there was no evidence that further treatment of a chiropractic nature was required. Adjudicator Watt wrote that the claimant had not proven that any ongoing physical issues were related to the accident, and instead may have been related to the claimant’s self-injurious behaviour.

Full decision here

TGP Analysis

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  • FILED UNDER Medical Benefits
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