The claimant sought entitlement to various medical benefits and payment for the cost of examinations. Adjudicator Johal ruled that all disputed plans were not reasonable or necessary based upon the evidence provided. Further, the claimant had not satisfied her onus to prove on a balance of probabilities that the treatment and assistive devices were effective for her recovery. With regards to the cost of the CAT Assessments, Adjudicator Johal found that the assessments were not necessary to determine whether the claimant had a catastrophic impairment. The insurer raised the issues of whether the accident was the cause of the claimant’s injuries. The adjudicator determined that the claimant was not forthright about her pre- and post-accident medical history, her employment history and other traumatic life events. In conclusion, Adjudicator Johal held that the medical evidence suggests that the accident was not a necessary cause of the claimant’s physical complaints nor did the accident exacerbate her injuries.
