External

Section 36 involves:

  • an assessment is done to see if rehabilitation is required, and

  • is completed before a RTWP is developed.

In most cases, claims for costs of initial assessments are not lodged until the RTWP has been sent.  The costs are recorded on the RTWP, despite not being part of the RTWP.

In rare cases, where rehabilitation is not required for an employee, a separate account will be received for payment.

Prior to making payment, there are some extra things to check:

  • is the initial assessment accepted by the Case Manager?

  • is the rehabilitation provider approved by Comcare?

  • is the cost of the assessment reasonable, even though there is no set figure for assessment costs?

  • has an initial assessment report been received by the Case Manager, with a copy sent to Comcare?

'CREATE CLAIM INVOICE' in the Claims Management application

Payment of section 36 costs is quite simple.  Select the employee record through the Claims Management application and enter the 'Create Claim Invoice' (CCI.CM) function.

On the first page of 'CCI', enter details of who the payment is going to, then 'page down' to the second part of the function.

Against the 'Financial group' field add 'RHB', against 'Payment type' enter 'S36' and for 'Service item' add '90'.

Once details of the cost of the assessment have been entered, commit the details and payment will be verified and ready to be picked up in the payrun.