The insurer approved a portion of the cost of a proposed psychological assessment based on an IE assessor’s view on the appropriate hourly rate to conduct the assessment. The claimant sought the remainder of the proposed amount. Adjudicator Ferguson accepted the insurer’s arguments and held that the remainder of the treatment plan was not payable. He further held that the insurer’s late denial did not result in the automatic payment of the assessment, because a proper denial was provided to the claimant prior to the assessment taking place.
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