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ARTICLE · 03 JULY 2026

Treating Specialist’s Report Found To Be A Request For Treatment Approval

McCabes
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In certain circumstances, however, the context of a treating doctor’s report could constitute a request for approval even without a clearly worded covering letter.

AustraliaInsurance
Peter Hunt
Peter Hunt
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In Brief

  • Ideally, a Claimant should write to the Insurer to formally request approval of treatment and care.
  • In certain circumstances, however, the context of a treating doctor’s report could constitute a request for approval even without a clearly worded covering letter.

Facts

The decision in Insurance Australia Limited t/as NRMA Insurance v Jennar [2026] NSWPIC 320 was delivered on 4 June 2026 and published on 19 June 2026.

A dispute arose between the parties regarding whether the accident caused the Claimant threshold injuries and whether a proposed three-level discectomy and fusion was reasonable and necessary. Both disputes were referred to the same Medical Assessor for assessment.

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