The claimant applied to the LAT disputing the insurer’s partial approval of catastrophic assessments. The dispute centered around the proper reading of s. 25(2)(a) of the SABS which provides a $2,000 limit for as assessment. Adjudicator Shapiro concluded that a plain language reading of the section set a clear total limit of $2,000 which would encompass all components of the assessment including file review, preparation an the written report. A total of $5,000 related to four clinic file reviews; $712 related to transportation; and $2,000 related to a neurological assessment. The file review and transportation costs were not payable under section 25. The neurological assessment was not payable because the claimant did not demonstrate any ongoing neurological impairment in earlier assessments.
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