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P.J. v. Continental Casualty Insurance Company (16-004272)

  • August 24, 2017

The claimant sought entitlement to a number of treatment plans. The insurer asserted a MIG defense. On review of the evidence, Adjudicator Nicole Treksler ruled the claimant’s injuries, including chronic pain, were outside of the MIG. The treatment sought was deemed payable. The claimant also sought costs for the insurer failing to provide log notes as requested. Costs were denied as the claimant did not sufficiently substantiate the claim under Rule 19.1.

Full decision here

TGP Analysis

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  • FILED UNDER Medical Benefits, Minor Injury Guideline
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