Assess Eligibility for Lump Sum / Independence Allow-
ance and Election Offer v11.0
NOTE What is the eligibility criteria for indepen-
Summary
dence allowance?
The client must have
Objective
• a degree of whole-person impairment of 10% or
To review the client's Impairment Assessment and determine
more, and
the client's eligibility for a lump sum or independence allowance.
• one of the following is true:
- a covered personal injury that has a date of
Owner
[Out of Scope]
accident before 1 April 2002, or
- a covered personal injury with a date of acci-
Expert
[Out of Scope]
dent on or after 1 April 2002 that is subject to the
transitional limits of clause 55, or
Procedure
- a covered personal injury with a date of acci-
dent on or after 1 April 2002 that is eligible for
PROCESS
Arrange Whole Person Impairment
election
under clause 55A
Assessment
Treatment and Support Assessor
Refer to the weblink below for further information
about independence allowance assessments
PROCESS
Arrange Whole Person Impairment
Independence allowance - Accident Insurance Act
Assessment peer review
1998, Schedule 1, Part 4, Clause 58
Treatment and Support Assessor
https://anzlaw.thomsonreuters.com/Document/I8b624c75022911e99495db3043f758b0/View/FullText.html?originationContext=documenttoc&transitionType=CategoryPageItem&contextData=(sc.Default)&comp=wlnz
NOTE What if the client has impairment relating to
multiple independence allowances?
1.0 Make eligibility decision
You need to consider whether 'U V ACC' policy
Treatment and Support Assessor
applies and whether the client would benefit from
a In the Permanent Injury Compensation subcase start the
combining these impairments. See the 'Transi-
'Post Assessment' task.
tional Provisions and Combining Whole Person
Impairment to Determine Independence Allow-
b Determine the client's eligibility for a lump sum or
ance' policy linked below.
independence allowance using the relevant criteria
PROCESS Transitional Provisions and
below.
Combining Whole Person
Identify Claims for Rapidly Deteriorating Clients
Impairment to Determine
Independence Allowance Policy
NOTE What is the eligibility criteria for a lump sum?
The person must have:
NOTE What should I do if the client is eligible to re-
• a covered personal injury with a date of acci-
ceive an election option offer under Clause
dent on or after 1 April 2002
55A?
• the injury is not subject to the transitional limits
Go to step 2.0.
of clause 55
Certain persons may elect to receive either lump
• survived that injury for more than 28 days; and
sum or independence allowance
is alive when assessed
https://www.legislation.govt.nz/act/public/2001/0049/latest/DLM1663927.html
• a degree of whole-person impairment of 10% or
more
NOTE What should I do if the client is not eligible?
In Eos generate and send the relevant decline
The client is not entitled to Lump Sum payment
letter(s).
in respect of personal injury suffered before 1
April 2002, or any subsequent consequences of
PIC13 Decline PIC - Client
any such personal injury.
PIC15 Decline PIC - Accredited Employer
Refer to the weblink below for further information
PIC19 Decline election - Client
on lump sum compensation for permanent
Lump sum eligibility requirements
impairment.
Determining the whole person impairment rating by
Lump sum compensation for permanent impairment
taking into account a previous rating
http://www.legislation.govt.nz/act/public/2001/0049/latest/DLM105410.html
Minimum impairment threshold percentage
Transitional limits on eligibility for lump sum entitle-
ments
Lump sum election requirements
http://www.legislation.govt.nz/act/public/2001/0049/latest/DLM105411.html
Independence allowance election requirements
Lump Sum Reassessment Policy
Definition of combined impairment rating
Deceased client eligibility for independence allow-
ance
Deceased client eligibility for lump sum
Single independence allowance eligibility require-
ment
Criteria for combined independence allowance eligi-
bility for a person who has received an old lump sum
ACC > Claims Management > Manage Client Payments > Manage Permanent Injury Compensation > Assess Eligibility for Lump Sum / Independence Allowance and Election
Offer
Uncontrolled Copy Only : Version 11.0 : Last Edited Thursday, 1 May 2025 1:06 pm : Printed Monday, 4 August 2025 5:19 pm
Page 2 of 3
Timeframes
PROCESS
Set Up a Lump Sum / Independence
Allowance Payment
None Noted
Treatment and Support Assessor
PROCESS
Adjust or Stop a Lump Sum /
Independence Allowance payment
Treatment and Support Assessor
2.0 Offer election option
Treatment and Support Assessor
a Use the Comparison Calculator supplied by Actuarial
Services every 6 months to generate the information to
populate the ACC4214 Choice of Entitlement form.
NOTE What information do you need to complete an
Election Calculation:
- Claim number
- Payment from date (date of lodgement in most
cases)
- Impairment Rating
NOTE Where can the calculator be found?
\\ACCfiles\Data\Public\Calculators\Comparison
Calculator
b Generate and send the client a 'PIC16 Approve election -
Client' letter, including the information from the election
calculator in the attached ACC4214 Choice of Entitlement
form.
PIC16 Approve election - Client
c Create a 'Follow up election form' task and set the target
date 30 days in the future to allow the client sufficient
time to reply.
NOTE What if the client does not reply within 30
days?
Generate and send a 'PIC17 Election reminder -
Client' letter to the client.
Update the target date for the 'follow up election
form' task allowing another 30 days to respond.
PIC17 Election reminder - Client
NOTE What if the client does not respond within 60
days?
The client automatically receives an Indepen-
dence Allowance. Follow the 'Confirm Election
Option decision' system step to confirm payment
of the 3 monthly Independence Allowance in
Eos.
Confirm Election Option decision
d Once the client responds to the election eligibility letter,
follow the 'Confirm Election Option decision' system step
to confirm the election decision in Eos and then generate
and send the client a 'PIC18 Election confirmed - Client'
letter.
Confirm Election Option decision
PIC18 Election confirmed - Client
Lump sum and independence allowance payee
Election Eligibility Criteria Policy
PROCESS
Set Up a Lump Sum / Independence
Allowance Payment
Treatment and Support Assessor
ACC > Claims Management > Manage Client Payments > Manage Permanent Injury Compensation > Assess Eligibility for Lump Sum / Independence Allowance and Election
Offer
Uncontrolled Copy Only : Version 11.0 : Last Edited Thursday, 1 May 2025 1:06 pm : Printed Monday, 4 August 2025 5:19 pm
Page 3 of 3
Arrange Whole Person Impairment Assessment v21.0
NOTE What if the request for assessment is from a
Summary
client in prison?
Assessment and payment of lump sums are
Objective
discretionary, there are decision making prin-
To arrange an American Medical Association Whole Person
ciples located in the Clients in prison policy.
Impairment assessment for a Permanent Injury Compensation
These principles will need to be applied before
client.
continuing with the assessment process. For
Independence Allowance ACC can assess the
Background
client’s impairment but payment cannot be made
Before eligibility for a for a Lump Sum or Independence Allow-
until after their release.
ance payment can be determined, a Whole Person Impairment
assessment must be undertaken. The purpose of this assess-
Applications for clients in prison should be re-
ment is to rate the clients percentage of whole person impair-
ferred to Level 2 Treatment and Support Asses-
ment. Only client's whose impairments are permanent and
sors . It is recommended that the Department of
stable are eligible for an assessment.
Corrections are contacted on
[email address] to try and arrange a
If a client is eligible for a Whole Person Impairment assessment,
contact at the prison the client is currently incar-
documentation required for the assessment will need to be col-
cerated in, the contact may help to determine
lated, and a referral for the assessment will need to be sent.
whether or not to proceed with the assessment.
Owner
[Out of Scope]
The template below can record how discretion
Expert
was applied to each decision using the principles
[Out of Scope]
outlined in the Clients in prison policy.
Procedure
Template for determining discretion:
PROCESS
Process a Permanent Injury
Principle Factors considered
Compensation application
Rehabilitation:
Treatment and Support Assessor
Cost-effectiveness:
Minimising impact:
Client responsibility:
1.0 Generate assessment documents
Reasonableness:
Treatment and Support Assessor
Decision made:
a In the Permanent Injury Compensation subcase create
PROCESS Clients in Prison Policy
the 'At Assessment' task.
b In Eos, generate PDF copies of the client's medical
notes.
2.0 Prepare referral pack
c In Power BI, generate a '3.01 schedule of claimant inju-
Treatment and Support Assessor
ries' for the client and save this as a PDF document.
a Prepare the referral pack of documents for the assessor.
Power BI ACC Operational Reports
NOTE What is required in the referral pack?
Extended discretion request
Refer to the 'Referral Packs Guide' document for
detailed information on what documents should
and should not be included in the referral pack
for the assessor.
You must also:
1.) Perform a privacy check of all the documents
in the referral pack. Refer to the 'Privacy check
before disclosing information' Policy for infor-
mation on what this requires.
2.) Remove any duplicate documents.
3.) Sort the documents into chronological order
for each injury.
4.) Number the pages of the documents.
Impairment Assessment Referral Pack Guidelines
Privacy Check Before Disclosing Information Policy
b Save the referral pack documents in PDF format.
ACC > Claims Management > Manage Client Payments > Manage Permanent Injury Compensation > Arrange Whole Person Impairment Assessment
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Page 2 of 4
NOTE Where should the documents be saved?
NOTE What if the client resides overseas?
The PDF documents should be saved in the
In the "PIC25 Assessment request - vendor"
'IALS Referral Packs' folder, found at \
letter:
\ACCFILES\Data\BranchServers
- Edit the header to specify the assessment is on
\HamiltonRegion\Service Centre\HSC-DSC IA-
papers
Lumpsum Shared Folder\WinZip
- Replace the line beginning "Please arrange to
The document name should include the claim
meet..." with "Please arrange to carry out an
number (without spaces) and either client first
assessment on the medical information provided
name / last name or first initial / last name.
as follows:"
- Delete the three paragraphs commencing "We
have written to the client..." and ending "befo-
3.0 Prepare assessment referral
rehand." and replace with "We’ve written to the
Treatment and Support Assessor
client about this assessment, and told them you
may need their doctor to provide assistance in
a Choose a contracted assessor who is qualified to assess
completing the impairment assessment report."
the client's particular injury type from the PIC Impairment
Assessment Referral Tool. If there is no appropriately
PIC25 Assessment request - vendor
qualified local assessor available, attach the eligibility
d Generate and edit the relevant client referral letter.
letter to the 'At Assessment' task and transfer it to the
'Permanent Injury Compensation - Referrals' queue for
NOTE What letter should be generated for the type
an assessor to be assigned.
of application?
• For a standard application send a 'PIC05 Eli-
Identify Claims for Rapidly Deteriorating Clients
gible for assessment - Client' letter
PIC Impairment Assessment Referral Tool
• For an application where ACC required the
https://accnz.sharepoint.com/sites/Group-PermanentInjuryCompensationTeam/SitePages/Per.aspx
reassessment send a 'PIC07 Reassessment re-
quired - Client' letter
Impairment assessors Policy
NOTE What if the client requires additional reim-
Assessment (IA and Lump Sum) Policy
bursement to facilitate attending the appoint-
NOTE What if the client is in prison?
ment?
Only those assessors with the referral type
Organise and pay the reimbursement as appro-
'prison' in the PIC Impairment Assessment
priate via the “Request for Client Reim-
Referral Tool have confirmed they will see clients
bursement” process
in prison.
PROCESS Request for Client Reim-
bursement
NOTE What if the client has a care indicator?
Only those assessors with the referral type 'care
PIC05 Eligible for assessment - Client
indicator' in the PIC Impairment Assessment
PIC07 Reassessment required - Client
Referral Tool have confirmed they will see these
clients.
NOTE What if the application includes a Full Self-
Cover Accredited Employer claim?
Email the assessor with the care indicator infor-
Send the PIC06 letter to each relevant employer,
mation to request confirmation that they will
listing only those injuries that are or were ma-
accept the referral, and if a security guard is
naged by that employer.
needed, before proceeding to the next step.
PIC06 Eligible for assessment - Accredited Employer
Upload the care indicator information release
template as a clearly-labelled secure document.
4.0 Send assessment referral
Disclosure of Care Indicator Information to third par-
Treatment and Support Assessor
ties Policy
a Send the client assessment referral letter to the client.
Order a security guard
NOTE What if the client refuses to attend, or does
b Once an assessor has been selected or assigned - from
not attend, their scheduled Whole Person
the ACC45 in Eos, create and authorise a purchase order
Impairment assessment if it is their first
for the impairment assessment from the 'General + QE'
assessment?
tab using the codes IA01 - IA19.
Contact the client and inform them that it is
Pricing - Impairment Assessments
impossible to assess eligibility for a Lump Sum
or Independence Allowance without a Whole
NOTE What if you need to add an additional entitle-
Person Impairment assessment having been
ment to the purchase order?
completed.
Refer to the "add a new entitlement to a claim
and add to an existing PO" system steps below
NOTE What if the client has requested a reas-
and follow step 3 onward.
sessment and does not attend their sche-
duled Whole Person Impairment assess-
Creating purchase orders using general + QE
ment?
Add a new entitlement to a claim and add to an
No action is required. If the client is currently re-
existing PO
ceiving Independence Allowance payments, they
will continue to receive these at the current
c Generate and edit a 'PIC25 Assessment Request -
assessment rate.
Vendor' letter and send this to the assessor.
ACC > Claims Management > Manage Client Payments > Manage Permanent Injury Compensation > Arrange Whole Person Impairment Assessment
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Page 3 of 4
NOTE What if ACC has identified that the client re-
NOTE What if peer review is required?
quires reassessment, and the client refuses
Close the 'At Assessment' task.
to attend, or does not attend their scheduled
Create the 'Post Assessment' task.
assessment?
Proceed to 'Arrange a Whole Person Impairment
This should be treated as non-compliance. Refer
Assessment Peer Review'.
to the 'Managing non-compliance' procedure and
PROCESS Arrange Whole Person Impair-
'Decline Entitlement when Client is Non-
ment Assessment peer review
compliant' policy for more information.
NOTE What if peer review is not required?
Managing non-compliance
Close the 'At Assessment' task and proceed to
Decline Entitlement When Client is Non-compliant
'Assess Eligibility for Lump Sum / Independence
Policy
Allowance and Election Offer'
b
PROCESS Assess Eligibility for Lump
Save the PDF assessment referral pack documents and
Sum / Independence Allowance
the provider assessment referral letter for the assessor
and Election Offer
as a zip file
How to WinZip Referral Documents
NOTE What if the client has a care indicator?
CONDITIONAL Arrange Whole Person Impairment
The care indicator template should be uploaded
Assessment peer review
separately as a secure document. The infor-
Treatment and Support Assessor
mation should be downloaded and included as a
separate document in the Zip file.
PROCESS
c
Assess Eligibility for Lump Sum /
Draft a referral Email addressed to the assessor.
Independence Allowance and Elec-
NOTE What should be included in the Email?
tion Offer
Copy and paste the content of the 'Assessment
Treatment and Support Assessor
Referral Email Template' into the draft referral
email for the assessor and complete the relevant
fields.
Timeframes
Referral Email Template
d Attach the assessment referral pack documents and pro-
None Noted
vider assessment referral letter WinZip files to the Email.
e Send the Email to the assessor who is conducting the
assessment.
Independence allowance and lump sum service pro-
vider delivery Policy
5.0 Check assessment report
Treatment and Support Assessor
a When the assessment report is received from the impair-
ment assessor, check that it is complete.
NOTE What is required for completeness?
• The impairment assessor has provided a report
as per the ACC User Handbook to AMA4, where
appropriate providing a Whole Person Impair-
ment rating.
• If the rating is deferred, discussion of the
permanence of the client's condition must sup-
port the deferral
• If the claim is managed by an accredited em-
ployer, the assessor must have also completed
the 'ACC4152 Impairment assessment (Accre-
dited Employer) report.
ACC User Handbook to AMA4
NOTE What if the assessment report is not com-
plete, or it appears there are errors in the
report?
Return the report to the impairment assessor
asking them to provide any missing information
or review the section which appears to be incor-
rect.
b Determine if peer review of the assessment is required
as per the attached peer review guidelines:
Peer review guidelines - Reference
ACC > Claims Management > Manage Client Payments > Manage Permanent Injury Compensation > Arrange Whole Person Impairment Assessment
Uncontrolled Copy Only : Version 21.0 : Last Edited Friday, 23 May 2025 2:10 pm : Printed Monday, 4 August 2025 5:19 pm
Page 4 of 4
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Send a Permanent Injury Compensation application
pack v12.0
NOTE What if the client is overseas?
Summary
Clients living overseas can apply using the
PIC01. However, please note the following:
Objective
To send a Permanent Injury Compensation application pack to a
• ACC is not required to meet any costs incurred
client.
overseas, including doctor consultations, or
travelling to New Zealand for an assessment (if
Background
required)
When a client wants to apply for a Lump Sum or Independence
• The forms must be in English
Allowance entitlement, ACC sends the client a Permanent Injury
• They must supply details from the overseas
Compensation application pack. The application pack prompts
doctor of their registration as a medical practi-
the client to provide the required information to allow ACC to
tioner, medical qualifications and contact details
process their application for a Lump Sum or Independence
• The assessment will be carried out by an
Allowance.
assessor in New Zealand using the medical
information provided (however, the assessor
Owner
[Out of Scope]
may also require the assistance of an overseas
Expert
doctor)
[Out of Scope]
• In some cases we will require the client to
return to New Zealand for an assessment
Procedure
• PIC is paid in New Zealand dollars
1.0 Generate a request for an application pack
Cover Assessor, Customer Experience Representative,
Recovery Assistant, Recovery Coordinator, Recovery
PROCESS
Process a Permanent Injury
Partner
Compensation application
a Determine whether or not the request requires esca-
Treatment and Support Assessor
lation. If escalation is not required go to step b.
Identify Claims for Rapidly Deteriorating Clients
Timeframes
NOTE When does a request require escalation?
Requests should be escalated when it has been
None Noted
stated or indicated that the client has a terminal
or rapidly declining condition.
NOTE What if the request requires escalation?
Follow the instructions outlined in the 'Escalate
LSIA application for a rapidly deteriorating client'
procedure. This procedure ends.
PROCESS Escalate Permanent Injury
Compensation application for a
rapidly deteriorating client
Rapidly deteriorating terminal conditions
b In Eos generate a 'Send LSIA Application Pack' task at
Party level.
NOTE The task will automatically allocate to the
correct work queue.
Channel Operations Knowledge Base: Permanent
Injury Compensation
2.0 Generate and send application pack
Recovery Administrator
a In Eos, generate a 'PIC01 Application for Permanent
Injury Compensation' pack.
PIC01 Application for Permanent Injury Compen-
sation
b Send the application pack to the client.
NOTE What if the client has previously been as-
sessed for the injury(s)?
A copy of the previous impairment assessment
report should be sent with the PIC01 application
pack. Procedures for the release of "substantial
enclosures" should be followed.
Disclosing information
ACC > Claims Management > Manage Client Payments > Manage Permanent Injury Compensation > Send a Permanent Injury Compensation application pack
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Escalate Permanent Injury Compensation application for
a rapidly deteriorating client v10.0
View or maintain party address details
Summary
c Send a "Rapidly Deteriorating" task to the "Centralised
Permanent Injury Compensation - Requests" queue.
Objective
• Edit the task and note any relevant details to the rapidly
To assess whether you need to fast track a Whole Person
deteriorating circumstances of the client.
Impairment assessment for clients with an imminent terminal
• If you are unsure call the Treatment & Support Assess-
condition, and are rapidly deteriorating, or send a Permanent
ment PIC Hunt Line (V_CAS_PIC_Physical via Genesys)
Injury Compensation application pack to the client to complete
to alert them to the task.
and return.
Background
When a client makes a claim for a Lump Sum / Independence
3.0 Prioritise and allocate task
Allowance entitlement they must first request and complete the
Treatment and Support Assessor
Permanent Injury Compensation application pack documen-
a Determine if an urgent impairment assessment should be
tation.
arranged.
ACC is able to fast track the Whole Person Impairment assess-
NOTE When should an urgent impairment assess-
ment process if the client has been assessed with an imminent
ment be arranged?
terminal condition, and are rapidly deteriorating condition.
If the client's condition is rapidly deteriorating
and it is likely that they may die before being
ACC can request an assessment of the client's impairment
able to attend an impairment assessment under
based on the medical documents available rather than the client
normal circumstances, an urgent impairment
seeing an assessor. This will enable ACC to pay the client more
assessment should be arranged. The client does
quickly if they are eligible for an entitlement.
not need to submit an application.
Owner
NOTE What if the impairment assessment is not
[Out of Scope]
urgent?
Expert
[Out of Scope]
The client must submit an application. Follow the
"Send a Permanent Injury Compensation appli-
Procedure
cation pack" process.
PROCESS Send a Permanent Injury
1.0 Review request and verify client's condition
Compensation application pack
Cover Assessor, Customer Experience Representative,
PIC01 Application for Permanent Injury Compen-
Recovery Administrator, Recovery Assistant, Recovery
sation
Coordinator, Recovery Partner
a Determine that the client has a rapidly deteriorating con-
b Edit task description and enter '#Rapid'.
dition by checking the client's injury diagnosis. Refer to
c Prioritise and allocate task to a Treatment and Support
the 'Clients with rapidly deteriorating conditions Policy' for
Assesssor to action. If it is marked URGENT and it has a
more information.
priority flag of High, this must be actioned immediately on
Identify Claims for Rapidly Deteriorating Clients
receipt.
Clients with rapidly deteriorating conditions Policy
Rapidly deteriorating terminal conditions
4.0 Generate payment report and check duplicate
ID
NOTE What if the client is not considered to have a
rapidly deteriorating condition?
Treatment and Support Assessor
The client must submit an application. Follow the
a In Eos, locate the client's Party ID.
"Send a Permanent Injury Compensation appli-
b In Power BI, generate a '4.09 Lump Sums and Indepen-
cation pack" process.
dence Allowance Payment Report' which will show the
PROCESS Send a Permanent Injury
clients compensation history for Lump Sum / Indepen-
Compensation application pack
dence Allowance entitlements. Save the document to a
PIC01 Application for Permanent Injury Compen-
secure location as you will need to upload this to Eos
sation
later.
Power BI ACC Operational Reports
c Check the clients overpayment summary for outstanding
2.0 Send a high priority task
overpayments.
Cover Assessor, Customer Experience Representative,
Recovery Administrator, Recovery Assistant, Recovery
NOTE What if the client has outstanding overpay-
Coordinator, Recovery Partner
ments?
a Contact the client or their contact person by phone to ex-
Contact Payments (for Eos debt) or Collections
plain the process for assessment and the requirements
and Recoveries (for Oracle debt) and confirm
for eligibility, in particular three part test from 'Clause 54
whether the overpayment should be recovered if
of Schedule 1, AC Act 2001.'
the client is eligible for PIC.
Identity Check Policy
View overpayment information
Clause 54. Schedule 1, AC Act 2001
d Check if client has a duplicate party/deleted party ID.
http://www.legislation.govt.nz/act/public/2001/0049/latest/DLM105410.html
b Validate the client's address to ensure this is up to date.
ACC > Claims Management > Manage Client Payments > Manage Permanent Injury Compensation > Escalate Permanent Injury Compensation application for a rapidly
deteriorating client
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Page 2 of 4
NOTE How do you check if a client has a duplicate
7.0 Set up Permanent Injury Compensation sub-
party/deleted party ID?
case
In Eos, complete Party Searches as follows:
Treatment and Support Assessor
• Initials of the clients first and last name with
a
date of birth
In Eos, determine the appropriate ACC45 that the claim
• Initials of alternate names indicated in forms
should be managed from. This claim will be used to admi-
and medical records with date of birth
nister all Lump Sum / Independence Allowance activities,
• NHI number
including the subcase.
• IRD number
NOTE What if there is a sensitive claims component
• Consider reasonable alternative names e.g.
to the assessment?
nicknames and English/non-English versions
Manage the request on the sensitive claim, or
NOTE What if there is a duplicate ID?
where multiple sensitive claims exist, the 'master'
Create an Action Client Duplicate task and com-
claim, i.e. the oldest claim or claim where
plete the requested fields, this will route to the
assessment previously applied.
correct queue automatically.
NOTE What if client has been assessed for this
NOTE What if there is a deleted party ID which still
entitlement previously?
has claims/documents?
• If new request is lump sum then work on the
Create an Action Client Duplicate task and com-
same claim as previous. If the previous lump
plete the relevant fields, this will route to the cor-
sum payment was paid through Pathway you will
rect queue automatically.
need to capture the assessment details on the
PIC subcase prior to the reassessment. See the
'Migrate Lump Sum details paid through Path-
way' system steps linked below.
5.0 Send a placeholder referral
• If new request is for combined Independence
Treatment and Support Assessor
Allowance then work from the same claim as
a Select an assessor who accepts referrals for Rapidly
previous.
Deteriorating assessment.
• If new request is for a single Independence
Allowance then work from the claim the ACC554
Pricing - Impairment Assessments
is for, i.e. the previously assessed claim if this is
List of Impairment Assessors
to be assessed this time.
b Email the assessor the client name and claim number.
Previously-assessed injuries must be included in
NOTE What do you need to include in the email?
a reassessment of the entitlement.
In the body of the email advise the assessor:
Migrate Lump Sum details paid through Pathway
• We have a request for impairment assessment
for a rapidly deteriorating client
NOTE What if the client has not been assessed for
• The diagnosis that ACC has been requested to
this entitlement previously?
cover
If the request is for one physical claim always
• We will let them know when a cover decision
manage on the applicable claim.
has been made and forward any additional rele-
vant information at that time
If the request is for multiple claims choose a
claim that:
c 'File away' the email contact with the assessor.
• relates to the highest impairment, or
File an inbound email
• is currently managed, or
• has had surgery, or
• is the oldest claim listed.
6.0 Notify Treatment and Support Assessment of
b Set up the Permanent Injury Compensation subcase on
cover decision
the appropriate claim.
Cover Assessor, Recovery Assistant, Recovery Coor-
Add or edit a rehabilitation action
dinator, Recovery Partner, Senior Cover Assessor
a
NOTE What if multiple claims need to be included in
In Eos, create a 'Rapidly deteriorating task'.
the assessment?
NOTE What do you include in the task?
• Link the additional claims to the subcase
• Edit the task and note any relevant details to
Linking a Claim to PIC Subcase
the rapidly deteriorating circumstances of the
client.
NOTE What if the automatic injury description from
b
the injury code is not accurate?
Transfer the task to the Treatment & Support Assessor
who holds the existing rapid assessment task.
• Edit the Injury Details with the correct descrip-
tion
NOTE What do you do if the task is unallocated?
Update Injury Details on a PIC Subcase
Transfer the task to the "Centralised Permanent
Injury Compensation - Requests" queue.
c In the Permanent Injury Compensation subcase, start the
c
'Pre-Assessment' task.
Contact the Treatment & Support Assessor by second
method to advise of the cover decision.
NOTE What if the Treatment & Support Assessor is
away?
Contact the Hunt Line on V_CAS_PIC_Physical
via Genesys to have the work urgently real-
located.
ACC > Claims Management > Manage Client Payments > Manage Permanent Injury Compensation > Escalate Permanent Injury Compensation application for a rapidly
deteriorating client
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Page 3 of 4
8.0 Determine entitlement type and create assess-
ment instance
Treatment and Support Assessor
a In Eos, complete the 'Determine Entitlement Type' E-
form. When saved, Eos will generate an Impairment
Assessment instance in Eos for the relevant entitlement
type.
Update Permanent Injury Compensation Entitlement
Details
NOTE What if an assessment has already been
completed and a reassessment is required?
You can create a reassessment instance in Eos
by using the 'copy' function on the previous
assessment instance. Refer to the 'Use copy
function to create reassessment ' system step.
Use copy function to create reassessment
PROCESS
Arrange Whole Person Impairment
Assessment
Treatment and Support Assessor
Timeframes
None Noted
ACC > Claims Management > Manage Client Payments > Manage Permanent Injury Compensation > Escalate Permanent Injury Compensation application for a rapidly
deteriorating client
Uncontrolled Copy Only : Version 10.0 : Last Edited Monday, 19 May 2025 2:49 pm : Printed Monday, 4 August 2025 5:21 pm
Page 4 of 4
Document Outline
- Assess Eligibility for Lump Sum _ Independence Allowance and Election Offer (1)
- Arrange Whole Person Impairment Assessment
- Impairment Assessment Referral Pack Guidelines
- Send a Permanent Injury Compensation application pack
- Escalate Permanent Injury Compensation application for a rapidly deteriorating client
