The claimant exhausted his medical benefits coverage and sought payment of catastrophic impairment assessment outside of the medical benefits limits. He sought a total of $9,718. The insurer argued that it was not required to pay for assessments outside of the medical limits, and in the alternative, that one of the proposed assessments was not necessary. Adjudicator Mazerolle concluded that catastrophic impairment assessments are payable outside of the medical benefits limits. However, he also concluded that the assessments had to be reasonable. A proposed file review appeared duplicative of three other proposed assessments. The insurer was ordered to pay $7,718 for the assessments.
