For Claims Advisors

Medication answers, without the clinical degree

You are asked to make calls that hinge on pharmacology — is this treatment related to the injury, can this worker drive, why is the pharmacy spend climbing — without clinical training and without the full picture. Allmeds does the pharmacist's part and hands you the decision inputs in plain English.

Built for the Claims Advisors and claims officers who carry medicated files every day.

The questions you get, answered on the file

"What are they actually taking?"

The complete history — every prescriber, every pharmacy — obtained lawfully through registered pharmacists and laid onto the claim in one table.

"Is it related to the injury?"

Per-medication: injury-related, partially related, or unrelated — with the reasoning and the source cited so the determination stands up.

"Can they work? Can they drive?"

Work-capacity and driving conflicts flagged where sedating combinations meet certified duties — the contradiction certificates can't check themselves for.

"What do I do about it?"

The next step drafted: a prescriber query naming the combination, or an IME referral with the medication questions specified and the history attached.

Plain English, defensible underneath

Every flag carries its reasoning and its source — TGA, PBS, scheme guidance — so what reads simply on your screen stands up at review, at IME, and at dispute. You act early with confidence instead of escalating late with a hunch.

Want the background knowledge too? Start with the claims-team guide to certificates of capacity and how medication history works on a claim.

Common questions

What does Allmeds do for a Claims Advisor?

It answers the medication questions on your files without needing a clinical background: what the claimant is actually taking across all prescribers, whether it fits the compensable injury, which combinations threaten recovery or work capacity, and what to do next — with the letter already drafted.

Do I need clinical training to use it?

No — that is the point. Allmeds does the pharmacology and gives you the decision inputs in plain English, cited to TGA, PBS and scheme guidance so the file stands up when it is reviewed.

How is this different from asking the treating doctor?

The treating doctor tells you about the medications they prescribe. The dispense history shows everything — all prescribers, all pharmacies, dated. Allmeds reviews that complete picture and reconciles it against what the file says, which is how the undisclosed second sedative or the quiet dose escalation gets caught.

What lands on my desk?

A per-claim assessment: the medication table with risk ratings, the flags that need action ranked, injury-relatedness per medication, and draft correspondence — prescriber queries and IME referrals with the medication questions specified.

See it on a realistic claim

Walk through a sample assessment and the letters it drafts.