V.L. v. Pafco Insurance Company (18-003802)

The claimant sought entitlement to chiropractic treatment and the denied portion of catastrophic impairment assessments. Adjudicator Boyce denied the claims for further chiropractic treatment because the claimant failed to prove the treatment was reasonable and necessary. He awarded the FAE component of the catastrophic impairment assessments, as well as the cost of the OCF-19 completion, but denied the remainder. He wrote that the denied psychiatric assessment and neuropsychological assessment were just attempts to garner two payments for an already approved assessment. The proposed biopsychosocial assessment was not reasonable and necessary.