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N.D. v. Unifund Assurance Company (17-008580)

  • October 16, 2019

The claimant sought reconsideration of the Tribunal’s denial of a chiropractic treatment plan and a psychiatric assessment, arguing that the Tribunal made an error of fact and law. Adjudicator Hans denied the reconsideration request. Regarding the chiropractic treatment plan, the Tribunal had ample evidence to come to the conclusion that it was not reasonable and necessary. Regarding the psychiatric assessment, Adjudicator Hans concluded that section 38(2) appropriately applied to bar payment because it was completed prior to the submission of the treatment plan.

Full decision here

TGP Analysis

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  • FILED UNDER Medical Benefits, Reconsideration
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