Record which Queensland forum can hear a refusal to fund a procedure
MaintainedLast reviewed
Key facts
- Human involvement
- YellowClose supervision
- How AI is used
- From the refusal and any claim decision, using a firm-controlled tool, mark a section 232P service-request refusal or a section 232R payment-request refusal as reviewable, and mark the page's particular-procedure example as non-reviewable. Do not decide that the treatment is payable.
- What the lawyer must review
- You decide whether the refusal can be reviewed, and in which forum.
- Do not send the page's particular-procedure example to review. A section 232P or 232R refusal is reviewable.
- A non-reviewable decision may be an Industrial Magistrate appeal. You choose that path.
- Use a firm-controlled tool. Check ASCR r 9, APP 11 and any notifiable breach.
Rules that apply
The document starts from the task name. Change it if this piece of work is different.
The work product
Forum. Forum for a Queensland treatment-funding refusal
Produce. A forum note: review, or the non-reviewable example. No decision that treatment is payable.
Have ready. The refusal; The date it was received; Any separate decision allowing or rejecting the claim.
Example of the limit. Illustrative example: The insurer has accepted the claim and later refuses one operation. The note marks that refusal as the page's example of a decision that is not reviewable. It is not a section 232P or 232R request. It does not say the operation must be funded.
Stop and hand it back when
- The document is not a decision about funding or about the claim.
- The output would decide that the treatment is payable.
Sources for this task were checked on 2026-10-23.
Who does what
| Role | What they do |
|---|---|
| Assistance | Do not begin AI assistance until the responsible lawyer has defined and confirmed its permitted scope. |
| Lawyer | Set the scope, supervise the work closely, verify every part relied on, resolve omissions and exceptions, and approve the exact output. |
Checklist
- If the refusal is a section 232P service request or a section 232R payment request, mark it reviewable. Otherwise mark the page's particular-procedure example as non-reviewable.
- If the decision allows, rejects, terminates or suspends the claim, mark the 3-month review.
- Do not say the treatment must be paid.
Forms and precedents for this task
| Form or precedent | Kind | AI use | Summary |
|---|---|---|---|
| Complaint to the Independent Review Office about a workers compensation or CTP insurer | Letter | AI use Yellow | Letter for a complaint to the New South Wales Independent Review Office about a workers compensation insurer or a CTP insurer, with the two pathways kept apart. |
| Covering letter for a Workplace Injury Commission conciliation application | Letter | AI use Yellow | Covering letter sent with a Workplace Injury Commission Application for Conciliation. |
Signed-in accounts can read the full text of each one. All precedents.
Sources
- WorkSafe Queensland: independent review of insurer decisions · 2026-10-23
- Queensland Industrial Relations Commission: workers' compensation · 2026-10-23
Health, wage and scheme records stay in a firm-controlled tool. Check ASCR r 9, APP 11, and whether a disclosure is notifiable under the Privacy Act 1988 (Cth).
The review page gives a decision not to fund a particular medical procedure as an example of a decision that is not reviewable, and says some non-reviewable decisions may be appealed to an Industrial Magistrate. Section 540(1) makes a refusal of a section 232P service request, or a section 232R payment request, reviewable. Those requests are in chapter 4A, not the page's example. Section 548(2) defines a non-reviewable decision as an insurer's decision under chapter 3 or 4 that section 540(1) does not list, other than a decision about additional lump sum compensation under section 193A. Section 548A(2)(c) makes an industrial magistrate the appeal body for a non-reviewable decision, and Form 67 is filed in the Magistrates Court. A decision to allow or reject a claim, or to terminate or suspend payment of compensation, is reviewable. Section 542 sets the review time.