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M.G. v. The Guarantee Company of North America (17-008687)

  • December 24, 2018

The claimant sought entitlement to NEBs, ACBs, and various medical benefits. Adjudicators Punyarthi and Watt dismissed the claims. They held that the claimant continued to engage in most of her pre-accident activities, despite doing so with pain. They rejected the claimant’s Form 1, as well as the invoicing provided by the claimant which appeared to be completed by the claimant rather than the service provider. The claim for an attendant care assessment was found not reasonable and necessary, since the claimant was not entitled to ACBs. Further physical therapy was not awarded based on the claimant’s evidence that it did not provide pain relief. Botox injections and psychological treatment were similarly rejected.

Full decision here

TGP Analysis

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  • FILED UNDER Medical Benefits, Non-Earner Benefits, Attendant Care Benefits
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