The claimant sought entitlement to an OCF-18 seeking funding for CAT assessments, including a neurology assessment, physiatry assessment, psychology assessment, and two occupational therapy assessments. The insurer denied the CAT assessments on the basis that the claimant sustained soft tissue injuries in the accident and argued that the claimant’s complaints were not accident-related (but rather related to pre-existing conditions). Adjudicator Norris found that the CAT assessments were reasonable and necessary, subject to the $2,000 funding limit for assessments in section 25 of the SABS. He accepted that it was reasonable and necessary to investigate whether the claimant was catastrophically impaired, as she sustained physical and psychological injuries as a result of the accident, which, combined with her pre-existing disability, caused a considerable level of physical and psychological impairment.
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