The claimant sought entitlement to NEBs and medical/rehabilitation benefits. Adjudicator Boyce found that the claimant did not suffer a complete inability to carry on a normal life, agreeing with the findings in the insurer’s examination reports; while the reports noted headaches and intermittent neck and back pain, Adjudicator Boyce found it was “a stretch to equate these impairments to having a complete inability to carry on a normal life.” Adjudicator Boyce further found that the claimant was entitled to an orthopedic assessment and psychological treatment since the insurer had indeed approved these treatment plans. The claimant was not entitled to any of the other disputed examinations and treatment plans since he had not met his burden to prove they were reasonable and necessary.
