Volume Four - New Claims & Injury

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-four-new-claims-injury

The Aims Of This Volume

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How To Read About New Claims And Injury

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Preliminary Recommended Reading

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Part One-Introduction

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Comcare Terminology

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Total Claims Management

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When A Claim Is Received

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The Privacy Act

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Claims Staff Responsibility

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Understanding The Legislation

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How The Act Is Divided

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Meaning And Use Of Words

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Guide To Reading A Section Of The Act

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Legislation In This Volume

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Defining An 'Employee'

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Contract Of Service

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Contract For Services

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Other Groups Of 'Employees'

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Exclusions

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Under The SRC Act

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Special Compensation Scheme

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What Is Not Covered By Compensation

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Reasonable Disciplinary Action/failure To Obtain Promotion, Transfer Or Benefit

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Intentionally Self Inflicted Injuries

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Serious And Wilful Misconduct

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Under The Influence Of Alcohol Or Non Prescribed Drugs

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Increased Risk Of Injury On Journeys

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Voluntary And Unreasonable Exposure To Abnormal Risk

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Wilful And False Non Disclosure Of Pre-Existing Disease

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Compensation For Injuries

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Part Two-The Claim Form

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Section 54 (2)

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Non-Compliance

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No Certificate

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Part Three-Risk Typing

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Risk Type One Claims

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Risk Type Two Claims

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Risk Type Three Claims

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Risk Type Four Claims

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Risk Typing And How It Affects Rehabilitation

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What Happens When The Risk Type Is Entered

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Where No Return To Work Plan Is Required

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Part Four-Risk Management And Balance Of Probability

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Saying 'Yes' Or 'No'

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Focusing On Outcomes

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Appealing Against Decisions

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The Review Process

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Being Confident

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The Act

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Breaking It Down

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Looking At Evidence

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What The Ad (Jr) Act Is Used For

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What Is Balance Of Probability?

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How Natural Justice Works

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Part Five-National Data Set Coding

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What Is National Data Set Coding?

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The NDS Categories

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NDS Codes, Claim Estimates And Premiums

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Injury Groups Used For Claim Estimates

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How To Code Claims

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Rules For Nature Of Injury

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Rules For Bodily Location

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Rules For Mechanism

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Rules For Breakdown Agency

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Steps To Coding

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Using The Percentage Key

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A Final Note

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Part Six-Staff Claims And Transfers

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Comcare'S Staff Claims

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Authority To Deal With Comcare Claims

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Creating A Staff Claim

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Transaction Monitoring Facility

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Claim Transfer

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Transferring To Another State Office

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Receiving Files From Another Office

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A Guide To The Privacy Act

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Introduction

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The Privacy Act:

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The Purpose of this Guide:

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1. The Principles Of Privacy

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1.1 The `Information Privacy Principles'

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Ipp 1: Collection of Information

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Ipp 2: The Individual's Right to Know

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Ipp 3: Methods of Collection

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Ipp 4: Security

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Ipp 5: The Personal Information Digest

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Ipp 6: Access

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Ipp 7: Alteration and Correction

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Ipp 8: Checking for Accuracy

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Ipp 9: Use of Information

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Ipp 10: Limits on Use

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Ipp 11: Releasing Information

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2. Collecting Information

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2.1 General

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2.2 Collection of Relevant Information Only

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2.3 Checking Quality of Information

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2.4 Methods of Collection

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2.5 The Claimant's `Right to Know'

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2.6 Preparation of Correspondence

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3. Using Information

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3.1 General

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3.2 Limits on Use

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3.3 Exceptions

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4. Access

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4.1 General

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4.2 Rights of Access

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4.3 The Personal Information Digest

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-four-new-claims-injury/guide-privacy-act/4-access/43-personal-information-digest

4.4 Correction and Amendment

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-four-new-claims-injury/guide-privacy-act/4-access/44-correction-and-amendment

5. Release Of Information

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-four-new-claims-injury/guide-privacy-act/5-release-information

5.1 General

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-four-new-claims-injury/guide-privacy-act/5-release-information/51-general

5.2 Limitations on Release

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-four-new-claims-injury/guide-privacy-act/5-release-information/52-limitations-release

5.3 Telephone Access

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-four-new-claims-injury/guide-privacy-act/5-release-information/53-telephone-access

5.4 Casual/social Conversations

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-four-new-claims-injury/guide-privacy-act/5-release-information/54-casualsocial-conversations

5.5 Social Security Enquiries

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-four-new-claims-injury/guide-privacy-act/5-release-information/55-social-security-enquiries

6. Storage And Security

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-four-new-claims-injury/guide-privacy-act/6-storage-and-security

6.1 General

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-four-new-claims-injury/guide-privacy-act/6-storage-and-security/61-general

6.2 Physical Security

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-four-new-claims-injury/guide-privacy-act/6-storage-and-security/62-physical-security

6.3 The `Clean Desk' Policy

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-four-new-claims-injury/guide-privacy-act/6-storage-and-security/63-clean-desk-policy

6.4 Computer Security

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-four-new-claims-injury/guide-privacy-act/6-storage-and-security/64-computer-security

6.5 Fax Security

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-four-new-claims-injury/guide-privacy-act/6-storage-and-security/65-fax-security

7. Tax File Numbers

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-four-new-claims-injury/guide-privacy-act/7-tax-file-numbers

7.1 The Tax File Number Guidelines

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-four-new-claims-injury/guide-privacy-act/7-tax-file-numbers/71-tax-file-number-guidelines

7.2 Comcare Australia's Responsibilities

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-four-new-claims-injury/guide-privacy-act/7-tax-file-numbers/72-comcare-australias-responsibilities

7.3 TFN Enquiries

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-four-new-claims-injury/guide-privacy-act/7-tax-file-numbers/73-tfn-enquiries

7.4 Penalties

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-four-new-claims-injury/guide-privacy-act/7-tax-file-numbers/74-penalties

Appendix A: The Information Privacy Principles

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-four-new-claims-injury/guide-privacy-act/appendix-information-privacy-principles

Directive

Source URL: https://clik.dva.gov.au/military-compensation-reference-library/historical-information/comcare-operations-manual/volume-four-new-claims-injury/directive