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S.F. v. Aviva Insurance Company of Canada (18-012486)

  • February 27, 2020

The claimant sought entitlement to the costs of three assessments for examinations and one treatment plan for assistive devices. Adjudicator Norris found that the claimant was not entitled to any of the benefits. Adjudicator Norris concluded that the Neurological, FAE, and In-Home Ergonomics assessments were not reasonable and necessary as a result of the accident. The claimant did not submit the disputed treatment plan, and as a result Adjudicator Norris had to rely on the IE report. Adjudicator Norris concluded that the treatment plan was not reasonable and necessary as the devices were predominately for neck, back, and shoulder injuries and the claimant reported no such impairments.

Full decision here

TGP Analysis

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  • FILED UNDER Medical Benefits
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