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W.H. v. Allstate Insurance (18-004037)

  • May 13, 2019

The claimant sought entitlement to three treatment plans for further physical therapy, assistive devices, and a chronic pain treatment program. Adjudicator Boyce awarded some of the assistive devices and denied the remainder of the claim. He held further physical therapy was not reasonable and necessary for the claimant’s impairment, and that the proposed chronic pain program was not sufficiently specific in scope or cost to be reasonable. Some of the assistive devices for blocking out noise and sunlight were awarded.

Full decision here

TGP Analysis

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  • FILED UNDER Medical Benefits
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