The claimant sought entitlement to a special award in relation to a physiotherapy treatment plan, arguing that the insurer had “ample evidence as to the existence of the impairments she suffered.” The claimant further submitted that the refusal was unreasonable and caused a substantial delay in the claimant’s ability to access treatment that was recommended by her treating physicians and the IE examiners. The insurer submitted that the claimant never provided compelling medical evidence to support her claim for physical therapy, and her submissions provided no evidence that the insurer had acted in bad faith and unreasonably withheld benefits. Adjudicator Norris agreed with the insurer and stated that the insurer had insufficient evidence to support the claim for physiotherapy, and it was reasonable for the insurer to seek an IE to determine the claimant’s medical status.
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