Definition

Treatment gap

Also: gap in treatment

Direct answer

An interval between documented medical encounters long enough that a carrier may argue the claimant had recovered or that later treatment is unrelated.

NORBU Demand Editorial · Last reviewed 2026-08-31

In detail

What treatment gap means in practice

Gaps are facts, not defects. Many have documented explanations — insurance authorization delays, referral waits, work or childcare constraints — that belong in the narrative rather than being left unaddressed.

Why it matters

An unexplained gap is read as recovery. An explained gap is read as context.

Example

A 47-day interval between discharge from therapy and an orthopedic consult, explained by an authorization delay documented in the referral.

NORBU Demand provides analytical support for counsel. It does not determine legal value, predict settlement outcomes, or provide legal advice. Every observation is presented for attorney review.

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