100010013901.12.2024                    OG  Y   Y
2001.12.202400042.0000000.0000000.00
5001.12.2024GENERAL PRACTITIONER - COMPLETED FORM
5001.12.2024Received by insurer after 10 working days
100010014001.12.2024                    OG  Y   Y
2001.12.202400086.0000000.0000000.00
5001.12.2024GENERAL PRACTITIONER - COMPLETED FORM
5001.12.2024Received by insurer within 10 working days
100010014101.12.2024                    OG  Y   Y
2001.12.202400172.0000000.0000000.00
5001.12.2024GENERAL PRACTITIONER - PROGRESS REPORT
5001.12.2024Received by insurer within 10 working days
100010014201.12.2024                    OG  Y   Y
2001.12.202400086.0000000.0000000.00
5001.12.2024GENERAL PRACTITIONER - PROGRESS REPORT
5001.12.2024Received by insurer after 10 working days
100010014401.12.2024                    OG  Y   Y
2001.12.202400426.0000000.0000000.00
5001.12.2024GENERAL PRACTITIONER - COMPREHENSIVE REPORT
5001.12.2024Received by insurer within 10 working days
100010014501.12.2024                    OG  Y   Y
2001.12.202400213.0000000.0000000.00
5001.12.2024GENERAL PRACTITIONER - COMPREHENSIVE REPORT
5001.12.2024Received by insurer after 10 working days
100010015001.12.2024                    OS  Y   Y
2001.12.202400711.0000000.0000000.00
5001.12.2024SPECIALIST - COMPREHENSIVE REPORT
5001.12.2024Received by insurer within 10 working days
100010015101.12.2024                    OS  Y   Y
2001.12.202400356.0000000.0000000.00
5001.12.2024SPECIALIST - COMPREHENSIVE REPORT
5001.12.2024Received by insurer after 10 working days
100010015501.12.2024                    HG  Y   Y
2001.12.202400247.0000000.0000000.00
5001.12.2024GENERAL PRACTITIONER - TRAVEL
5001.12.2024Travelling time per hour
100010015601.12.2024                    HG  Y   Y
2001.12.202400494.0000000.0000000.00
5001.12.2024GENERAL PRACTITIONER - WORKPLACE ASSESSMENT
5001.12.2024Relating to rehabilitation or treatment options
100010015701.12.2024                    HS  Y   Y
2001.12.202400690.0000000.0000000.00
5001.12.2024SPECIALIST - WORKPLACE ASSESSMENT
5001.12.2024Relating to rehabilitation or treatment options
100010015801.12.2024                    HG  Y   Y
2001.12.202400494.0000000.0000000.00
5001.12.2024GENERAL PRACTITIONER - CASE CONFERENCE
5001.12.2024Relating to rehabiltiation or treatment options
100010015901.12.2024                    HS  Y   Y
2001.12.202400690.0000000.0000000.00
5001.12.2024SPECIALIST - CASE CONFERENCE
5001.12.2024Relating to rehabiliation or treatment options
100010016001.12.2024                    OG  Y   Y
2001.12.202400084.0000000.0000000.00
5001.12.2024GENERAL PRACTITIONER - TELECOMMUNICATIONS - LESS10 MIN
5001.12.2024Telephone, secure e-mail, facsimile relating to rehabilitation or treatment
5001.12.2024options
100010016101.12.2024                    OS  Y   Y
2001.12.202400114.0000000.0000000.00
5001.12.2024SPECIALIST - TELECOMMUNICATIONS - LESS 10 MIN
5001.12.2024Telephone, secure e-mail, facsimile relating to rehabilitation or treatment
5001.12.2024options
100010016201.12.2024                    OG  Y   Y
2001.12.202400168.0000000.0000000.00
5001.12.2024GENERAL PRACTITIONER - TELECOMMUNICATIONS - 11 - 20 MIN
5001.12.2024Telephone, secure e-mail, facsimile relating to rehabilitation or treatment
5001.12.2024options
100010016301.12.2024                    OS  Y   Y
2001.12.202400228.0000000.0000000.00
5001.12.2024SPECIALIST - TELECOMMUNICATIONS - 11 TO 20 MINS
5001.12.2024Telephone, secure e-mail, facsimile relating to rehabilitation or treatment
5001.12.2024options
100010016401.12.2024                    OG  Y   Y
2001.12.202400109.0000000.0000000.00
5001.12.2024GENERAL PRACTITIONER - FACILITY FEE
5001.12.2024Facility fee
100010021101.12.2024                    OS  Y   Y
2001.12.202400773.0000000.0000000.00
5001.12.2024SPECIALIST - INDEPENDENT MEDICAL EXAMINATION (IME) REPORT
5001.12.2024Received by insurer within 10 working days
100010021201.12.2024                    OS  Y   Y
2001.12.202400388.0000000.0000000.00
5001.12.2024SPECIALIST - INDEPENDENT MEDICAL EXAMINATION (IME) REPORT
5001.12.2024Received by insurer after 10 working days or if payment requested prior to
5001.12.2024supply of report
100010023701.12.2024                    OG  Y   Y
2001.12.202400000.7800000.0000000.00
5001.12.2024GENERAL PRACTITIONER - TRAVEL
5001.12.2024Vehicle Cost
100010027901.12.2024                    OS  Y   Y
2001.12.202400228.0000000.0000000.00
5001.12.2024SPECIALIST - CONSULTATION ASSOCIATED WITH A REPORT
5001.12.2024Specialist - initial consultation
100010029301.12.2024                    OS  Y   Y
2001.12.202400122.0000000.0000000.00
5001.12.2024SPECIALIST - CONSULTATION ASSOCIATED WITH A REPORT
5001.12.2024Specialist - subsequent consultation
100010029601.12.2024                    OS  Y   Y
2001.12.202400545.0000000.0000000.00
5001.12.2024SPECIALIST - CONSULTATION ASSOCIATED WITH A REPORT
5001.12.2024Psychiatrist - consultation between 45-75 mins
100010029701.12.2024                    OG  Y   Y
2001.12.202400085.0000000.0000000.00
5001.12.2024GENERAL PRACTITIONER - SHORT REPORT
5001.12.2024Received by insurer within 10 working days
100010029801.12.2024                    OG  Y   Y
2001.12.202400042.0000000.0000000.00
5001.12.2024GENERAL PRACTITIONER - SHORT REPORT
5001.12.2024Received by insurer after 10 working days
100010030001.12.2024                    OS  Y   Y
2001.12.202400434.0000000.0000000.00
5001.12.2024SPECIALIST - CONSULTATION ASSOCIATED WITH A REPORT
5001.12.2024Consultant physician - initial consultation
100010030101.12.2024                    OS  Y   Y
2001.12.202400200.0000000.0000000.00
5001.12.2024SPECIALIST - CONSULTATION ASSOCIATED WITH A REPORT
5001.12.2024Consultant physician - subsequent consultation
100010030201.12.2024                    OS  Y   Y
2001.12.202400607.0000000.0000000.00
5001.12.2024SPECIALIST - CONSULTATION ASSOCIATED WITH A REPORT
5001.12.2024Psychiatrist - consultation more than 75 mins
100010030301.12.2024                    OS  Y   Y
2001.12.202400391.0000000.0000000.00
5001.12.2024SPECIALIST - NON ATTENDANCE / CANCELLATION FEE (FOR IME OR PI ASSESSMENT ONLY)
5001.12.2024Consultant physician - less than 48 hours notice (excluding non-working days)
100010030401.12.2024                    OS  Y   Y
2001.12.202400205.0000000.0000000.00
5001.12.2024SPECIALIST - NON ATTENDANCE / CANCELLATION FEE (FOR IME OR PI ASSESSMENT ONLY)
5001.12.2024Specialist - less than 48 hours notice (excluding non-working days)
100010030501.12.2024                    OS  Y   Y
2001.12.202400491.0000000.0000000.00
5001.12.2024SPECIALIST - NON ATTENDANCE / CANCELLATION FEE (FOR IME OR PI ASSESSMENT ONLY)
5001.12.2024Psychiatrist - less than 48 hours notice (excluding non-working days)
100010036901.12.2024                    OS  Y   Y
2001.12.202400545.0000000.0000000.00
5001.12.2024SPECIALIST - TELEHEALTH CONSULTATIONS ASSOCIATED WITH A REPORT
5001.12.2024Psychiatrist telehealth consultation between 45-75 mins
100010037001.12.2024                    OS  Y   Y
2001.12.202400607.0000000.0000000.00
5001.12.2024SPECIALIST - TELEHEALTH CONSULTATIONS ASSOCIATED WITH A REPORT
5001.12.2024Psychiatrist telehealth consultation more than 75 mins
100010050101.12.2024                    OS  Y   Y
2001.12.202400090.0000000.0000000.00
5001.12.2024SPECIALIST - SPECIALIST MRI
5001.12.2024MBS item codes 63491, 63494
100010050201.12.2024                    OS  Y   Y
2001.12.202400672.0000000.0000000.00
5001.12.2024SPECIALIST - SPECIALIST MRI
5001.12.2024MBS item codes 63010,63040, 63334, 63548
100010050301.12.2024                    OS  Y   Y
2001.12.202400717.0000000.0000000.00
5001.12.2024SPECIALIST - SPECIALIST MRI
5001.12.2024MBS item codes 63043, 63151, 63154, 63161 - 63170, 63179 - 63185, 63461
100010050401.12.2024                    OS  Y   Y
2001.12.202400762.0000000.0000000.00
5001.12.2024SPECIALIST - SPECIALIST MRI
5001.12.2024MBS item codes 63301, 63304, 63307
100010050501.12.2024                    OS  Y   Y
2001.12.202400806.0000000.0000000.00
5001.12.2024SPECIALIST - SPECIALIST MRI
5001.12.2024MBS item codes 63001 - 63007, 63046 - 63073, 63322, 63340, 63361, 63391,
5001.12.202463401, 63404, 63416, 63425, 63428, 63440
100010050601.12.2024                    OS  Y   Y
2001.12.202400869.0000000.0000000.00
5001.12.2024SPECIALIST - SPECIALIST MRI
5001.12.2024MBS item codes 63201, 63204, 63219 63243, 63385, 63388
100010050701.12.2024                    OS  Y   Y
2001.12.202400986.0000000.0000000.00
5001.12.2024SPECIALIST - SPECIALIST MRI
5001.12.2024MBS item codes 63101, 63111, 63114, 63125, 63128, 63131, 63271 - 63280
100010050801.12.2024                    OS  Y   Y
2001.12.202400717.0000000.0000000.00
5001.12.2024SPECIALIST - SPECIALIST MRI
5001.12.2024MBS item codes 63173, 63176, 63325, 63328, 63331, 63337
100010050901.12.2024                    OS  Y   Y
2001.12.202401380.0000000.0000000.00
5001.12.2024SPECIALIST - SPECIALIST MRI
5001.12.2024MBS item codes 63464, 63467, 63487, 63547
100010051001.12.2024                    OS  Y   Y
2001.12.202401254.0000000.0000000.00
5001.12.2024SPECIALIST - SPECIALIST MRI
5001.12.2024MBS item code 63473
100010051101.12.2024                    OS  Y   Y
2001.12.202400078.0000000.0000000.00
5001.12.2024SPECIALIST - APPLICATION FEE FOR PATIENT RECORDS
5001.12.2024Application fee for the provision of patient records relating to the workers
5001.12.2024compensation claim including file notes; results of relevant tests eg.
5001.12.2024Pathology, diagnostic imaging and reports
100010051201.12.2024                    OG  Y   Y
2001.12.202400078.0000000.0000000.00
5001.12.2024GENERAL PRACTITIONER - APPLICATION FEE FOR PATIENT RECORDS
5001.12.2024Fee for providing patient records relating to the workers' compensation claim
5001.12.2024including file notes; results of relevant tests e.g. pathology, diagnostic
5001.12.2024imaging and reports
100010051301.12.2024                    OG  Y   Y
2001.12.202400000.3500000.0000000.00
5001.12.2024GENERAL PRACTITIONER - COPYING CHARGE FOR PATIENT RECORDS
5001.12.2024Copying charge per page for patient records
100010051401.12.2024                    OS  Y   Y
2001.12.202400000.3500000.0000000.00
5001.12.2024SPECIALIST - COPYING CHARGE FOR PATIENT RECORDS
5001.12.2024Copying charge per page for patient records
100010078001.12.2024                    OG  Y   Y
2001.12.202400168.0000000.0000000.00
5001.12.2024GENERAL PRACTITIONER - REPORT REVIEW AND RESPONSE
5001.12.2024A written response to 1 3 questions after reviewing a medical report supplied
5001.12.2024by the insurer from another medical provider, inclusive of reading time.
100010079001.12.2024                    OS  Y   Y
2001.12.202400228.0000000.0000000.00
5001.12.2024SPECIALIST - REPORT REVIEW AND RESPONSE
5001.12.2024A written response to 1 3 questions after reviewing a medical report supplied
5001.12.2024by the insurer from another medical provider, inclusive of reading time.
100010080001.12.2024                    HS  Y   Y
2001.12.202400345.0000000.0000000.00
5001.12.2024SPECIALIST - TRAVEL
5001.12.2024Travelling time per hour
100010080201.12.2024                    OS  Y   Y
2001.12.202400927.0000000.0000000.00
5001.12.2024SPECIALIST - PERMANENT IMPAIRMENT (PI) ASSESSMENT
5001.12.2024Report using appropriate assessment method and in the approved form. Received
5001.12.2024by insurer within 10 working days
100010080301.12.2024                    OS  Y   Y
2001.12.202400463.0000000.0000000.00
5001.12.2024SPECIALIST - PERMANENT IMPAIRMENT (PI) ASSESSMENT
5001.12.2024Received by insurer after 10 working days or if payment requested prior to
5001.12.2024supply of report
100010080501.12.2024                    HS  Y   Y
2001.12.202400536.0000000.0000000.00
5001.12.2024SPECIALIST - PRE-CONSULTATION READING TIME (FOR PI & IME ASSESSMENT AND
5001.12.2024REPORT)
5001.12.2024Additional reading time: more than 30 minutes
100010080601.12.2024                    OS  Y   Y
2001.12.202400429.0000000.0000000.00
5001.12.2024SPECIALIST - PROGRESS REPORT
5001.12.2024Received by insurer within 10 working days
100010080701.12.2024                    OS  Y   Y
2001.12.202400214.0000000.0000000.00
5001.12.2024SPECIALIST - PROGRESS REPORT
5001.12.2024Received by insurer after 10 working days
100010080801.12.2024                    OS  Y   Y
2001.12.202400143.0000000.0000000.00
5001.12.2024SPECIALIST - COMPLETED FORM (2-3 QUESTIONS)
5001.12.2024Received by insurer within 10 working days
100010080901.12.2024                    OS  Y   Y
2001.12.202400000.7800000.0000000.00
5001.12.2024SPECIALIST - TRAVEL
5001.12.2024Vehicle cost
100010081001.12.2024                    OS  Y   Y
2001.12.202400143.0000000.0000000.00
5001.12.2024SPECIALIST - SHORT REPORT
5001.12.2024Received by insurer within 10 working days
100010081101.12.2024                    OS  Y   Y
2001.12.202400070.0000000.0000000.00
5001.12.2024SPECIALIST - SHORT REPORT
5001.12.2024Received by insurer after 10 working days
100010081401.12.2024                    OS  Y   Y
2001.12.202400071.0000000.0000000.00
5001.12.2024SPECIALIST - COMPLETED FORM (2-3 QUESTIONS)
5001.12.2024Received by insurer after 10 working days
100010081501.12.2024                    HS  Y   Y
2001.12.202400572.0000000.0000000.00
5001.12.2024SPECIALIST - COMPLEX CASE REVIEW
5001.12.2024Specialist report based on review of medical information
100010081601.12.2024                    OS  Y   Y
2001.12.202400188.0000000.0000000.00
5001.12.2024SPECIALIST - INTERPRETER
5001.12.2024Additional fee for examination and report conducted with the assistance of an
5001.12.2024interpreter
100010081801.12.2024                    OS  Y   Y
2001.12.202400150.0000000.0000000.00
5001.12.2024SPECIALIST - ILO REPORT
5001.12.2024Received by insurer within 10 working days
100010081901.12.2024                    OS  Y   Y
2001.12.202400073.0000000.0000000.00
5001.12.2024SPECIALIST - ILO REPORT
5001.12.2024Received by insurer after 10 working days
100040060201.12.2024                    OS  Y   Y
2001.12.202400429.0000000.0000000.00
5001.12.2024SPECIALIST - SUPPLEMENTARY REPORT- LONG
5001.12.2024Supplementary report (4-6 questions) following the completion of an
5001.12.2024independent medical examination or permanent impairment assessment and report.
100040060301.12.2024                    OS  Y   Y
2001.12.202400259.0000000.0000000.00
5001.12.2024SPECIALIST - SUPPLEMENTARY REPORT- SHORT
5001.12.2024Supplementary report (1-3 questions) following the completion of an
5001.12.2024independent medical examination or permanent impairment assessment and report.