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B.Y. v. Economical Insurance Company (19-005084)

  • June 16, 2020

The claimant sought entitlement to IRBs and various medical benefits. Adjudicator Watt dismissed all of the claims. He held that the claimant was able to return to work based on medical evidence and based on surveillance evidence. The claimed medical benefits were similar to treatment that the claimant said did not reduce his symptoms or increase functionality, and were therefore not reasonable and necessary. Further, the claimant did not pursue any of the treatments his family physician had recommended.

Full decision here

TGP Analysis

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  • FILED UNDER Income Replacement Benefits, Medical Benefits
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