The claimant sought entitlement to further medical benefits and a special award; the insurer argued that the claimant had failed to attend IEs and that the benefits were not reasonable and necessary. Adjudicator Treksler concluded that the insurer’s request for IEs was not reasonable given that only one year had passed since the last IEs in this decade-long claim. She also concluded that the medical benefits sought were reasonable and necessary to treat the claimant’s chronic pain. Adjudicator Treksler also held that a special award was payable because the insurer had delayed payment of the claimed medical benefits by ignoring the potential pain relief that the treatment would provide the claimant and that requested assessments could provide further recommendations for pain relief.
