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Compensation claims procedures
Historical Information
Comcare Operations Manual
Volume Five - Complex Liability
Stress Documentation
Stress-Related Claim Investigation Guide 1994
Part Five
The Streamlined Investigation Model
- Steps In The Referral & Decision - Making Process
External
Step 1..........Identify difficult or contentious stress-related claims
Step 2..........Contact the Case Manager to negotitate preferred Provider and workplace access
Step 3..........Personally contact the employee to explain the referral procedure and purpose
Step 4..........Contact the Provider to make appointment for employee
Step 5..........Write to employee with appointment details
Step 6..........Refer original file to Provider. Also include covering letter confirming appointment and setting out employer contact details and treating doctor details.
Step 7..........Follow-up receipt of report from Provider within 10 days of referral
Step 8..........Make the decision and advise employer and employee. Copy of the investigation report should be sent to both parties. It may be necessary in some cases to release the report to the employee through the treating practitioner.