IME & Prescriber Letters

The independent medical examination is only as good as the referral

Examiners answer the questions they're asked, on the material they're given. Allmeds drafts the letters from the claim's reviewed medication history — IME referrals with the medication questions specified, prescriber letters naming the exact combination that needs review — ready for your team the same day.

Draft letters cite TGA, PBS and scheme guidance per point. Your team edits and sends — Allmeds drafts, your people decide.

What the letters actually say

IME referral letters

Specific questions from the assessment: is the certified capacity consistent with this regimen? Is each medication still reasonable treatment for the compensable injury? What would safe optimisation look like? — with the reconciled history attached.

Prescriber letters

To the treating doctor, naming the finding: the combination flagged, the escalation pattern, the duplication across prescribers — factual, cited, and framed as a clinical query, not an accusation.

Evidence underneath

Every point in every draft traces to the dispense history and to published guidance — TGA, PBS, scheme rules — so the letter stands up at review and at dispute.

Audit trail

What was found, what was asked, what was sent, when — filed with the claim.

Understand the IME landscape

Background guides for the claims professionals who commission examinations: what an independent medical examiner does, how an IME assessment runs, and medico-legal reports explained.

Common questions

What is an independent medical examination (IME)?

An independent medical examination is an assessment of a claimant by a doctor who is not involved in their treatment, arranged by the insurer (or another party) to obtain an independent opinion on diagnosis, capacity, treatment or causation. Each Australian scheme has rules about when IMEs may be arranged and how they are conducted.

Why does the IME referral letter matter so much?

Because the examiner answers the questions they are asked, on the material they are given. A vague referral — "please assess this claimant" — produces a vague report. A referral with the reconciled medication history attached and specific questions ("is the certified capacity consistent with this regimen?") produces a report the claim can act on.

What does Allmeds generate?

Draft letters built from the medication assessment on the claim: IME referral letters with the medication questions specified and the reviewed history attached, and prescriber letters that name the specific combination or escalation needing review. Drafts cite the underlying evidence (TGA, PBS, scheme guidance) and are edited and sent by your team — Allmeds drafts, your people decide.

What medication questions should an IME referral ask?

The ones a generic referral misses: whether the current regimen is consistent with the certified work capacity; whether each medication remains reasonable treatment for the compensable injury; whether combinations present risks that should change management; and what a safe optimisation or tapering pathway would look like. Each lands better with the dispense history in front of the examiner.

See a real drafted letter

A sample IME referral drafted from a realistic claim — questions, history, citations.