under the Integrated Services for Sensitive Claims (ISSC) contract, use the client engagement form. There is then a year to provide treatment from when the first session takes place. ACC will ask you to complete a questionnaire and will require an assessment with an ENT specialist, at no cost to you. Once completed, email to preemploymentchecks@acc.co.nz along with a valid proof of identification such as a Driver’s Licence, Passport, 18+ Card, Birth Certificate, or Statutory Declaration signed by the Police or JP. If you need help, contact our eBusiness team: Phone 0800 222 994Email ebusinessinfo@acc.co.nz. Plus, SubmitKit has the following time saving features: Eliminate paper work and data entry by having patients complete ACC45 forms digitally from home or … The claim form provides a checklist and guidance material. Call our provider order line to order ACC45 claim forms: Phone 0800 802 444. Find out what we need to know and how to help them return to work. Provide information about the history of the injury. For particularly complex claims, ACC may seek expert clinical advice. ACC Claims Management. We'll contact you if we need more information about the claim. It's useful to include a specific location as well, eg 'Centennial Highway southbound, 70 meters from the Hutt Road intersection in Wellington'. For more holiday hours, go to Contact us. WorkAon Self Insurance Manual -The University of Auckland - March 2013.doc DEFINITIONS which identifies an injury and its relationship to a work or n Definitions ACC 45 Form The initial treatment certificate issued by a Medical Provider, most normally a General Practitioner, on work incident. Depending on the type of health provider you are, you can only lodge claims for specific types of injuries on behalf of your patient. You can use our secure document transfer form on HealthLink to securely send patient notes through your practice management system (PMS). You'll need to check you're lodging the right type of claim, and following the right process. If the details are wrong, select Edit to make changes. The request must relate to an injury that has an accepted ACC claim. If a patient needs further treatment, you'll need to seek prior approval. General Practitioner / Physio) can lodge claims on behalf of their patient if they think they have an injury ACC covers. I have court records that show an incident took place where the injury occurred. Getting prior approval for further treatment for allied health providers. ACC45) to gather claim information then the “numbered ACC46” may be more useful as the field order matches the eLodgement claim form. We’ll need time to investigate the claim. Your ACC provider details will auto-populate from the PMS. - Phone 0800 222 994. • Lodge an internal ACC review of the decision. It’s best they complete the claim (and supporting material) with their patient during their first visit. - Internet Explorer 5.5 or later. Claims. If you wish to discuss any aspect of this claim that it is not appropriate to document on the A45 or an A18, tick … Types of crimes that are covered as a sensitive claim. Call our Dental stationary line to order ACC42 forms: If you’re another kind of treatment provider treating a dental injury, use the ACC45 as normal. - JetStream Internet Connection. Lodge new claim to ACC and add existing claims to SubmitKit You can still send claim forms manually by post. For help submitting an ACC45, contact our ACC eBusiness team: ebusinessinfo@acc.co.nz or 0800 222 994 – press option 1. Depending on the type of health provider you are, you can only lodge claims for specific types of injuries on behalf of your patient. There may also be a delay in payment of your invoices. How to lodge, update and manage claims, search for the right read code and about our decision making process. Step 2: select the financial year. Our contact centre will be closed on 25 and 28 December 2020 and 1 and 4 January 2021. Caseweaver is a directory of healthcare products, services and information. The appeal process • ACC declines a claim for cover or entitlements. If you have an issue with a claim already submitted, call the AE or TPA. You’ll get a Claim ID when you submit your claim… You may be entitled to take your complaint to the small claims court or tribunal in your state or territory. Provide patient notes from the time of the injury if you can. Who can lodge claims for different injuries. Your patient or an authorised representative needs to sign the patient declaration. To order from the automated ordering system select “462”. The Query Claim Status APIs provide the ability for the Provider to see whether a claim has been registered with ACC and what diagnosis details have been registered to the injury claim. Help is available throughout the claim form by clicking the blue question marks. Note: these fields may be called different things in different software products. ACC gives a unique claim number to every claim recorded. Only medical practitioners and registered or contracted counsellors can lodge sensitive claims. The ACC funded Integrated Services for Sensitive Claims (ISSC) contract is a client-centred service which was created to assist survivors of sexual assault and sexual violence. It doesn’t matter who you are or what you were doing when you were injured. Paper form to match (numbered ACC46) If you use a paper ACC form (e.g. The medical specialist who treats you will say if your injury is likely to be covered, and will ask you to complete a form so they can lodge a claim after your first visit. If you're a New Zealander injured overseas, If you're a visitor injured in New Zealand, Getting paid if you can't work - weekly compensation, Keep getting payments if you move overseas, Financial support if you have a permanent injury, Financial support if someone has died from an injury, Trouble registering or logging into MyACC, How we make cover decisions based on legislation, Giving someone authority to act on your behalf, Understanding levies if you work or own a business, Sort out a problem with your levy invoice, MyACC for Business - manage your account and levies online, Giving someone access to your levy account, Joining the Accredited Employers Programme (AEP), How your claims history affects your levy invoice, Working with us to manage employee injuries, Income for your employee if they can't work, Tools for staying healthy and safe at work, Ngā kaituku hauora me ngā kaituku ratonga, How we support quality and resolve issues, Working with us as a rongoā Māori practitioner, Who can lodge claims for different injuries, Using the right Read code to lodge and update claims, Getting a decision on your patient's claim, Issuing medical certificates and return to work, How we support clients throughout their recovery, If your patient has an injury caused by treatment from a registered health professional, it’s a treatment injury claim. 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