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S.A. v. Aviva Insurance Canada (18-000651)

  • January 23, 2019

The claimant sought entitlement to medical benefits for physiotherapy and a chronic pain assessment. Adjudicator Maleki-Yazdi denied both claims. She held that the claimant’s right hip pain (which was the basis for the medical benefits) was not caused by the accident, but rather a subsequent slip-and-fall. Further, the claimant did not present evidence that the alleged accident-related injuries were causing functional impairment. Neither of the sought medical benefits were reasonable and necessary.

Full decision here

TGP Analysis

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  • FILED UNDER Medical Benefits
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