Part One-Evidence And Investigation

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation

Why Investigate?

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/why-investigate

Principles Of Investigation And Evidence

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/principles-investigation-and-evidence

Investigation Principles

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/principles-investigation-and-evidence/investigation-principles

Disclaimers

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/principles-investigation-and-evidence/disclaimers

Evidence Principles

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/principles-investigation-and-evidence/evidence-principles

'... Without Regard To Technicalities (Section 72)'

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/principles-investigation-and-evidence/without-regard-technicalities-section-72

Onus Of Proof

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/principles-investigation-and-evidence/onus-proof

Powers Of Investigation

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/powers-investigation

Section 57

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/powers-investigation/section-57

Section 57 (1)

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/powers-investigation/section-57/section-57-1

Sections 57 (2) and 57 (5)

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/powers-investigation/section-57/sections-57-2-and-57-5

How 'without reasonable excuse' is interpreted

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/powers-investigation/section-57/how-without-reasonable-excuse-interpreted

What 'suspended until the examination takes place' means

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/powers-investigation/section-57/what-suspended-until-examination-takes-place-means

Suspending the claim on PRACSYS

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/powers-investigation/section-57/suspending-claim-pracsys

Standard letters

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/powers-investigation/section-57/standard-letters

Section 57 (3)

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/powers-investigation/section-57/section-57-3

Costs

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/powers-investigation/section-57/costs

Paying section 57 accounts

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/powers-investigation/section-57/paying-section-57-accounts

Section 57 (4)

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/powers-investigation/section-57/section-57-4

Section 57 (6)

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/powers-investigation/section-57/section-57-6

Time Off Work To Attend The Examination

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/powers-investigation/time-work-attend-examination

Why Review?

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/powers-investigation/why-review

Section 58

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/powers-investigation/section-58

How (And How Not) To Use Section 58

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/powers-investigation/how-and-how-not-use-section-58

Failure To Provide Requested Evidence

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/powers-investigation/failure-provide-requested-evidence

Sections 71 (1) And (2)

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/powers-investigation/sections-71-1-and-2

Summary

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/powers-investigation/summary

The Investigation Process

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/investigation-process

Evaluating Evidence

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/evaluating-evidence

Information Comcare Uses As Evidence

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/evaluating-evidence/information-comcare-uses-evidence

Medical Reports

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/medical-reports

When To Seek Medical Reports

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/medical-reports/when-seek-medical-reports

Asking Appropriate Questions

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/medical-reports/asking-appropriate-questions

What to provide the doctor with

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/medical-reports/asking-appropriate-questions/what-provide-doctor

A case summary

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/medical-reports/asking-appropriate-questions/case-summary

Other types of medical report requests

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/medical-reports/asking-appropriate-questions/other-types-medical-report-requests

Other forms of information which may be provided

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/medical-reports/asking-appropriate-questions/other-forms-information-which-may-be-provided

Possible Vs Probable

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/medical-reports/possible-vs-probable

Considering Medical Evidence

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/considering-medical-evidence

Full Claim Review

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/full-claim-review

Initial Liability

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/full-claim-review/initial-liability

Determining liability

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/full-claim-review/initial-liability/determining-liability

Liability review dates

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/full-claim-review/initial-liability/liability-review-dates

Using the Guide

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/full-claim-review/initial-liability/using-guide

Advising the employee

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/full-claim-review/initial-liability/advising-employee

Claim comments

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/full-claim-review/initial-liability/claim-comments

Claim Review Following Initial Liability

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/full-claim-review/claim-review-following-initial-liability

Where there is incapacity only

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/full-claim-review/claim-review-following-initial-liability/where-there-incapacity-only

Where there is medical treatment only

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/full-claim-review/claim-review-following-initial-liability/where-there-medical-treatment-only

Where rehabilitation is involved

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/full-claim-review/claim-review-following-initial-liability/where-rehabilitation-involved

Claims made following the expiration of the set review date

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/full-claim-review/claim-review-following-initial-liability/claims-made-following-expiration-set

The Importance Of Comments On PRACSYS

Evidence and investigation are very important to the claims manager's role.

Gathering the correct evidence and conducting relevant investigations not only saves time and effort in the longer term, but will provide a specific and accurate result.

Past volumes have indicated:

  • sometimes the decisions which are made can have repercussions for other staff in the office (Volume 1);

  • decisions must be supported by good arguments, based on the Act and other information, such as medical evidence (Volume 1);

  • is it really necessary to seek medical evidence from three, four or even five doctors before making a decision? (Volume 1);

  • always bear in mind the expected outcome of seeking further evidence.  Is more information going to alter the decision?  If not, there is really no reasonable basis for requesting further information (Volume 4);

  • the decision making process is all about managing risk (Volume 4);

  • don't get information just for the sake of it.  With each case being dealt with on its merits, there are no cut and dried 'rules' (Volume 4).

Remember, what it all boils down to is weighing up and managing the risks associated with the decision making process.  Ask what the likely implications are of saying 'yes' or 'no'?  Is it more practical to say 'yes' to a claim that is straightforward?

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-seven-review-processes/part-one-evidence-and-investigation/importance-comments-pracsys