100010013901.12.2025                    OG  Y   Y
2001.12.202500045.0000000.0000000.00
5001.12.2025GENERAL PRACTITIONER - COMPLETED FORM (2-3 QUESTIONS)
5001.12.2025Received by insurer after 10 working days
100010014001.12.2025                    OG  Y   Y
2001.12.202500089.0000000.0000000.00
5001.12.2025GENERAL PRACTITIONER - COMPLETED FORM (2-3 QUESTIONS)
5001.12.2025Received by insurer within 10 working days
100010014101.12.2025                    OG  Y   Y
2001.12.202500178.0000000.0000000.00
5001.12.2025GENERAL PRACTITIONER - PROGRESS REPORT
5001.12.2025Received by insurer within 10 working days
100010014201.12.2025                    OG  Y   Y
2001.12.202500089.0000000.0000000.00
5001.12.2025GENERAL PRACTITIONER - PROGRESS REPORT
5001.12.2025Received by insurer after 10 working days
100010014401.12.2025                    OG  Y   Y
2001.12.202500441.0000000.0000000.00
5001.12.2025GENERAL PRACTITIONER - COMPREHENSIVE REPORT
5001.12.2025Received by insurer within 10 working days
100010014501.12.2025                    OG  Y   Y
2001.12.202500221.0000000.0000000.00
5001.12.2025GENERAL PRACTITIONER - COMPREHENSIVE REPORT
5001.12.2025Received by insurer after 10 working days
100010015001.12.2025                    OS  Y   Y
2001.12.202500737.0000000.0000000.00
5001.12.2025SPECIALIST - COMPREHENSIVE REPORT
5001.12.2025Received by insurer within 10 working days
100010015101.12.2025                    OS  Y   Y
2001.12.202500369.0000000.0000000.00
5001.12.2025SPECIALIST - COMPREHENSIVE REPORT
5001.12.2025Received by insurer after 10 working days
100010015501.12.2025                    HG  Y   Y
2001.12.202500256.0000000.0000000.00
5001.12.2025GENERAL PRACTITIONER - TRAVEL
5001.12.2025Travelling time per hour
100010015601.12.2025                    HG  Y   Y
2001.12.202500512.0000000.0000000.00
5001.12.2025GENERAL PRACTITIONER - WORKPLACE ASSESSMENT
5001.12.2025Attendance at the workplace to assess aspects of the injured worker's job or
5001.12.2025environment.
100010015701.12.2025                    HS  Y   Y
2001.12.202500715.0000000.0000000.00
5001.12.2025SPECIALIST - WORKPLACE ASSESSMENT
5001.12.2025Attendance at the workplace to assess aspects of the injured worker's job or
5001.12.2025environment.
100010015801.12.2025                    HG  Y   Y
2001.12.202500512.0000000.0000000.00
5001.12.2025GENERAL PRACTITIONER - CASE CONFERENCE
5001.12.2025A face-to-face or telephone meeting involving the treating doctor, insurer and
5001.12.2025one or more other relevant parties.
100010015901.12.2025                    HS  Y   Y
2001.12.202500715.0000000.0000000.00
5001.12.2025SPECIALIST - CASE CONFERENCE
5001.12.2025A face-to-face or telephone meeting involving the treating doctor, insurer and
5001.12.2025one or more other relevant parties.
100010016001.12.2025                    OG  Y   Y
2001.12.202500087.0000000.0000000.00
5001.12.2025GENERAL PRACTITIONER - COMMUNICATION - LESS 10 MIN
5001.12.2025Telephone, email, online or other communication between the treating doctor
5001.12.2025and relevant stakeholders regarding rehabilitation or return to work.
100010016101.12.2025                    OS  Y   Y
2001.12.202500118.0000000.0000000.00
5001.12.2025SPECIALIST - TELECOMMUNICATIONS - LESS 10 MIN
5001.12.2025Telephone, secure e-mail, facsimile relating to rehabilitation or treatment
5001.12.2025options
100010016201.12.2025                    OG  Y   Y
2001.12.202500175.0000000.0000000.00
5001.12.2025GENERAL PRACTITIONER - COMMUNICATION - 11 - 20 MIN
5001.12.2025Telephone, email, online or other communication between the treating doctor
5001.12.2025and relevant stakeholders regarding rehabilitation or return to work.
100010016301.12.2025                    OS  Y   Y
2001.12.202500236.0000000.0000000.00
5001.12.2025SPECIALIST - TELECOMMUNICATIONS - 11 TO 20 MINS
5001.12.2025Telephone, secure e-mail, facsimile relating to rehabilitation or treatment
5001.12.2025options
100010016401.12.2025                    OG  Y   Y
2001.12.202500113.0000000.0000000.00
5001.12.2025GENERAL PRACTITIONER - FACILITY FEE
5001.12.2025Facility fee
100010023701.12.2025                    OG  Y   Y
2001.12.202500000.8200000.0000000.00
5001.12.2025GENERAL PRACTITIONER - TRAVEL
5001.12.2025Vehicle cost
100010029701.12.2025                    OG  Y   Y
2001.12.202500088.0000000.0000000.00
5001.12.2025GENERAL PRACTITIONER - SHORT REPORT
5001.12.2025Received by insurer within 10 working days
100010029801.12.2025                    OG  Y   Y
2001.12.202500044.0000000.0000000.00
5001.12.2025GENERAL PRACTITIONER - SHORT REPORT
5001.12.2025Received by insurer after 10 working days
100010030501.12.2025                    OS  Y   Y
2001.12.202500491.0000000.0000000.00
5001.12.2025SPECIALIST - NON-ATTENDANCE OR CANCELLATION FEE - PSYCHIATRIC
5001.12.2025Non-attendance or cancellation for IME and PI services with less than 3
5001.12.2025working days' notice or 5 working days' notice for regional locations
100010032301.12.2025                    OS  Y   Y
2001.12.202500001.0000000.0000000.00
5001.12.2025SPECIALIST - REGIONAL LOADING (IME AND PI ONLY)
5001.12.2025Additional 10% loading fee for IME and PI services delivered in regional,
5001.12.2025rural and remote locations
100010032501.12.2025                    OS  Y   Y
2001.12.202500391.0000000.0000000.00
5001.12.2025SPECIALIST - NON-ATTENDANCE OR CANCELLATION FEE - PHYSICAL
5001.12.2025Non-attendance or cancellation for IME and PI services with less than 3
5001.12.2025working days' notice or 5 working days' notice for regional locations
100010050101.12.2025                    OS  Y   Y
2001.12.202500090.0000000.0000000.00
5001.12.2025SPECIALIST - SPECIALIST MRI
5001.12.2025MBS item codes 63491, 63494
100010050201.12.2025                    OS  Y   Y
2001.12.202500672.0000000.0000000.00
5001.12.2025SPECIALIST - SPECIALIST MRI
5001.12.2025MBS item codes 63010,63040, 63334, 63548
100010050301.12.2025                    OS  Y   Y
2001.12.202500717.0000000.0000000.00
5001.12.2025SPECIALIST - SPECIALIST MRI
5001.12.2025MBS item codes 63043, 63151, 63154, 63161 - 63170, 63179 - 63185, 63461
100010050401.12.2025                    OS  Y   Y
2001.12.202500762.0000000.0000000.00
5001.12.2025SPECIALIST - SPECIALIST MRI
5001.12.2025MBS item codes 63301, 63304, 63307
100010050501.12.2025                    OS  Y   Y
2001.12.202500806.0000000.0000000.00
5001.12.2025SPECIALIST - SPECIALIST MRI
5001.12.2025MBS item codes 63001 - 63007, 63046 - 63073, 63322, 63340, 63361, 63391,
5001.12.202563401, 63404, 63416, 63425, 63428, 63440
100010050601.12.2025                    OS  Y   Y
2001.12.202500869.0000000.0000000.00
5001.12.2025SPECIALIST - SPECIALIST MRI
5001.12.2025MBS item codes 63201, 63204, 63219 63243, 63385, 63388
100010050701.12.2025                    OS  Y   Y
2001.12.202500986.0000000.0000000.00
5001.12.2025SPECIALIST - SPECIALIST MRI
5001.12.2025MBS item codes 63101, 63111, 63114, 63125, 63128, 63131, 63271 - 63280
100010050801.12.2025                    OS  Y   Y
2001.12.202500717.0000000.0000000.00
5001.12.2025SPECIALIST - SPECIALIST MRI
5001.12.2025MBS item codes 63173, 63176, 63325, 63328, 63331, 63337
100010050901.12.2025                    OS  Y   Y
2001.12.202501380.0000000.0000000.00
5001.12.2025SPECIALIST - SPECIALIST MRI
5001.12.2025MBS item codes 63464, 63467, 63487, 63547
100010051001.12.2025                    OS  Y   Y
2001.12.202501254.0000000.0000000.00
5001.12.2025SPECIALIST - SPECIALIST MRI
5001.12.2025MBS item code 63473
100010051101.12.2025                    OS  Y   Y
2001.12.202500081.0000000.0000000.00
5001.12.2025SPECIALIST - PATIENT RECORDS - APPLICATION
5001.12.2025Application fee for the provision of patient records relating to the workers
5001.12.2025compensation claim including file notes; results of relevant tests eg.
5001.12.2025Pathology, diagnostic imaging and reports
100010051201.12.2025                    OG  Y   Y
2001.12.202500081.0000000.0000000.00
5001.12.2025GENERAL PRACTITIONER - PATIENT RECORDS - APPLICATION
5001.12.2025Fee for providing patient records relating to the workers' compensation claim
5001.12.2025including file notes; results of relevant tests e.g. pathology, diagnostic
5001.12.2025imaging and reports
100010051301.12.2025                    OG  Y   Y
2001.12.202500000.3600000.0000000.00
5001.12.2025GENERAL PRACTITIONER - PATIENT RECORDS - PAGES
5001.12.2025Copying charge per page for patient records
100010051401.12.2025                    OS  Y   Y
2001.12.202500000.3600000.0000000.00
5001.12.2025SPECIALIST - PATIENT RECORDS - PAGES
5001.12.2025Copying charge per page for patient records
100010078001.12.2025                    OG  Y   Y
2001.12.202500175.0000000.0000000.00
5001.12.2025GENERAL PRACTITIONER - REPORT REVIEW AND RESPONSE
5001.12.2025A written response to 1 3 questions after reviewing a medical report supplied
5001.12.2025by the insurer from another medical provider, inclusive of reading time.
100010079001.12.2025                    OS  Y   Y
2001.12.202500236.0000000.0000000.00
5001.12.2025SPECIALIST - REPORT REVIEW AND RESPONSE
5001.12.2025A written response to 1 3 questions after reviewing a medical report supplied
5001.12.2025by the insurer from another medical provider, inclusive of reading time.
100010080001.12.2025                    HS  Y   Y
2001.12.202500357.0000000.0000000.00
5001.12.2025SPECIALIST - TRAVEL
5001.12.2025Travelling time per hour
100010080501.12.2025                    HS  Y   Y
2001.12.202500536.0000000.0000000.00
5001.12.2025SPECIALIST - ADDITIONAL READING TIME
5001.12.2025Additional reading time required for IME and PI services with 151+ pages of
5001.12.2025referral documents
100010080601.12.2025                    OS  Y   Y
2001.12.202500444.0000000.0000000.00
5001.12.2025SPECIALIST - PROGRESS REPORT
5001.12.2025Received by insurer within 10 working days
100010080701.12.2025                    OS  Y   Y
2001.12.202500222.0000000.0000000.00
5001.12.2025SPECIALIST - PROGRESS REPORT
5001.12.2025Received by insurer after 10 working days
100010080801.12.2025                    OS  Y   Y
2001.12.202500148.0000000.0000000.00
5001.12.2025SPECIALIST - COMPLETED FORM (2-3 QUESTIONS)
5001.12.2025Received by insurer within 10 working days
100010080901.12.2025                    OS  Y   Y
2001.12.202500000.8200000.0000000.00
5001.12.2025SPECIALIST - TRAVEL
5001.12.2025Vehicle cost
100010081001.12.2025                    OS  Y   Y
2001.12.202500148.0000000.0000000.00
5001.12.2025SPECIALIST - SHORT REPORT
5001.12.2025Received by insurer within 10 working days
100010081101.12.2025                    OS  Y   Y
2001.12.202500074.0000000.0000000.00
5001.12.2025SPECIALIST - SHORT REPORT
5001.12.2025Received by insurer after 10 working days
100010081401.12.2025                    OS  Y   Y
2001.12.202500074.0000000.0000000.00
5001.12.2025SPECIALIST - COMPLETED FORM (2-3 QUESTIONS)
5001.12.2025Received by insurer after 10 working days
100010081501.12.2025                    HS  Y   Y
2001.12.202500572.0000000.0000000.00
5001.12.2025SPECIALIST - COMPLEX MEDICAL PAPER-BASED REVIEW
5001.12.2025Received by insurer within 3 working days
100010081601.12.2025                    OS  Y   Y
2001.12.202500001.0000000.0000000.00
5001.12.2025SPECIALIST - INTERPRETER LOADING
5001.12.2025Additional 15% loading fee for IME and PI services requiring interpreter
5001.12.2025assistance.
100010081801.12.2025                    OS  Y   Y
2001.12.202500185.0000000.0000000.00
5001.12.2025SPECIALIST - ILO REPORT
5001.12.2025Received by insurer within 10 working days
100010081901.12.2025                    OS  Y   Y
2001.12.202500111.0000000.0000000.00
5001.12.2025SPECIALIST - ILO REPORT
5001.12.2025Received by insurer after 10 working days
100010082201.12.2025                    HS  Y   Y
2001.12.202500572.0000000.0000000.00
5001.12.2025SPECIALIST - STANDARD MEDICAL PAPER-BASED REVIEW
5001.12.2025Received by insurer within 10 working days
100010082301.12.2025                    OS  Y   Y
2001.12.202500001.0000000.0000000.00
5001.12.2025SPECIALIST - PI BODY REGION LOADING
5001.12.2025Additional 10% loading fee for IME and PI services with 3 or more injuries
5001.12.2025across more than 1 body region, with a further 10% loading for additional body
5001.12.2025regions
100010083001.12.2025                    OS  Y   Y
2001.12.202501760.0000000.0000000.00
5001.12.2025SPECIALIST - IME STANDARD - PHYSICAL
5001.12.2025Received by insurer within 10 working days
100010083101.12.2025                    OS  Y   Y
2001.12.202501056.0000000.0000000.00
5001.12.2025SPECIALIST - IME STANDARD - PHYSICAL
5001.12.2025Received by insurer after 10 working days
100010083201.12.2025                    OS  Y   Y
2001.12.202502024.0000000.0000000.00
5001.12.2025SPECIALIST - IME COMPLEX - PHYSICAL
5001.12.2025Received by insurer within 10 working days
100010083301.12.2025                    OS  Y   Y
2001.12.202501214.0000000.0000000.00
5001.12.2025SPECIALIST - IME COMPLEX - PHYSICAL
5001.12.2025Received by insurer after 10 working days
100010083401.12.2025                    OS  Y   Y
2001.12.202501936.0000000.0000000.00
5001.12.2025SPECIALIST - PI ASSESSMENT - PHYSICAL
5001.12.2025Received by insurer within 10 working days
100010083501.12.2025                    OS  Y   Y
2001.12.202501162.0000000.0000000.00
5001.12.2025SPECIALIST - PI ASSESSMENT - PHYSICAL
5001.12.2025Received by insurer after 10 working days
100010084001.12.2025                    OS  Y   Y
2001.12.202502160.0000000.0000000.00
5001.12.2025SPECIALIST - IME STANDARD - PSYCHIATRIC
5001.12.2025Received by insurer within 10 working days
100010084101.12.2025                    OS  Y   Y
2001.12.202501296.0000000.0000000.00
5001.12.2025SPECIALIST - IME STANDARD - PSYCHIATRIC
5001.12.2025Received by insurer after 10 working days
100010084201.12.2025                    OS  Y   Y
2001.12.202502484.0000000.0000000.00
5001.12.2025SPECIALIST - IME COMPLEX - PSYCHIATRIC
5001.12.2025Received by insurer within 10 working days
100010084301.12.2025                    OS  Y   Y
2001.12.202501490.0000000.0000000.00
5001.12.2025SPECIALIST - IME COMPLEX - PSYCHIATRIC
5001.12.2025Received by insurer after 10 working days
100010084401.12.2025                    OS  Y   Y
2001.12.202502376.0000000.0000000.00
5001.12.2025SPECIALIST - PI ASSESSMENT - PSYCHIATRIC
5001.12.2025Received by insurer within 10 working days
100010084501.12.2025                    OS  Y   Y
2001.12.202501426.0000000.0000000.00
5001.12.2025SPECIALIST - PI ASSESSMENT - PSYCHIATRIC
5001.12.2025Received by insurer after 10 working days
100010090101.12.2025                    HS  Y   Y
2001.12.202500415.0000000.0000000.00
5001.12.2025SPECIALIST - STANDARD PHYSIOTHERAPY PAPER-BASED REVIEW
5001.12.2025Received by insurer within 3 working days
100010090201.12.2025                    HS  Y   Y
2001.12.202500415.0000000.0000000.00
5001.12.2025SPECIALIST - COMPLEX PHYSIOTHERAPY PAPER-BASED REVIEW
5001.12.2025Received by insurer within 10 working days
100010090301.12.2025                    HS  Y   Y
2001.12.202500415.0000000.0000000.00
5001.12.2025SPECIALIST - INDEPENDENT PHYSIOTHERAPY EXAMINATION
5001.12.2025Received by insurer within 10 working days
100010091001.12.2025                    HS  Y   Y
2001.12.202500300.0000000.0000000.00
5001.12.2025SPECIALIST - INDEPENDENT NEUROPSYCHOLOGY EXAMINATION
5001.12.2025Received by insurer within 10 working days
100010091101.12.2025                    HS  Y   Y
2001.12.202500300.0000000.0000000.00
5001.12.2025SPECIALIST - STANDARD NEUROPSYCHOLOGY PAPER-BASED REVIEW
5001.12.2025Received by insurer within 3 working days
100010091201.12.2025                    HS  Y   Y
2001.12.202500300.0000000.0000000.00
5001.12.2025SPECIALIST - COMPLEX NEUROPSYCHOLOGY PAPER-BASED REVIEW
5001.12.2025Received by insurer within 10 working days
100010091301.12.2025                    HS  Y   Y
2001.12.202500300.0000000.0000000.00
5001.12.2025SPECIALIST - NON-ATTENDANCE OR CANCELLATION FEE - NEUROPSYCHOLOGY
5001.12.2025Non-attendance or cancellation for an Independent Neuropsychology Examination
5001.12.2025with less than 3 working days' notice or 5 working days' notice for regional
5001.12.2025locations
100010092001.12.2025                    HS  Y   Y
2001.12.202500300.0000000.0000000.00
5001.12.2025SPECIALIST - PHARMACEUTICAL LIABILITY REVIEW
5001.12.2025Received by insurer within 3 working days
100010092101.12.2025                    HS  Y   Y
2001.12.202500300.0000000.0000000.00
5001.12.2025SPECIALIST - PHARMACEUTICAL COMPREHENSIVE MEDICATION REVIEW
5001.12.2025Received by insurer within 10 working days
100010093001.12.2025                    HS  Y   Y
2001.12.202500530.0000000.0000000.00
5001.12.2025SPECIALIST - STANDARD DENTAL PAPER-BASED REVIEW
5001.12.2025Received by insurer within 3 working days
100010093101.12.2025                    HS  Y   Y
2001.12.202500530.0000000.0000000.00
5001.12.2025SPECIALIST - COMPLEX DENTAL PAPER-BASED REVIEW
5001.12.2025Received by insurer within 10 working days
100040060201.12.2025                    OS  Y   Y
2001.12.202500444.0000000.0000000.00
5001.12.2025SPECIALIST - SUPPLEMENTARY REPORT - LONG
5001.12.2025Supplementary report (4-6 questions) following the completion of an
5001.12.2025independent medical examination or permanent impairment assessment and report.
100040060301.12.2025                    OS  Y   Y
2001.12.202500268.0000000.0000000.00
5001.12.2025SPECIALIST - SUPPLEMENTARY REPORT - SHORT
5001.12.2025Supplementary report (1-3 questions) following the completion of an
5001.12.2025independent medical examination or permanent impairment assessment and report.