Dear Accident Compensation Corporation,

I am writing to request information in regards to the significance of the description Partially Paid that appears on Accident Compensation Corporation's 4.06: CLAIM SERVICE REPORTS.

It would be appreciated if you could provide me with the following official information;

1). It appears that the indicator registers as either Partially Paid or alternatively Paid and I would appreciate if you could confirm if there are any other settings for this indicator under the 4.06 CLAIMS SERVICES REPORT screen/print. For instance is there also an Unpaid indicator.

2). I understand that the Partially Paid indicator can remain shown as such for periods well in excess of ACC's standard payment remittance contractual arrangements with service providers. I have witnessed situations where the payment details for a particular service provider continues to show Partially Paid 20 months after the service was provided by the ACC service provider, whereas subsequent and much more recent provisions of service by the same service provider have been registered as Paid.

a) In light of this anomaly it would be appreciated if you could confirm under the official information act all circumstances/senrarios between ACC and ACC Service providers that would trigger the Partially Paid indicator on the Accident Compensation Corporation's 4.06: CLAIM SERVICE REPORTS in terms of the payment relationship between ACC and the ACC service provider.

b) what circumstances lead to an account being registered as Partially Paid on the 4.06: CLAIM SERVICE REPORTS, well after the service has been provided to the ACC client.

3). In circumstances where a Partially Paid indicator is shown can you please advise whether the unpaid balance to the service provider who had treated an ACC client registers as a unique identifier for any purpose other than registering a standard charge account submitted by a service provider which ACC has yet to fully settle.

4). In circumstances where a Partially Paid indicator is shown can you please advise whether the unpaid balance to the service provider is associated with any form of a commission/reward/incentive component of payment in addition to the service providers standard charge, possibly linked to a short term or long term treatment/rehabilitative goal and outcome, similar to the KPI and staff incentive programme that ACC Staff enjoy.

5) If the answer to question 4) above is yes, can you please confirm whether the Partially Paid indicator could be triggered in a situation where an ACC service provider has been advised by an ACC client of an additional injury, be it accidental or a treatment injury, and that injury is made known to ACC by the ACC service provider without the service provider either registering the injury via submitting an ACC 45 to ACC or alternatively advising the ACC Client to register an ACC 45 claim.

I confirm that under s16(2) of the Official Information Act, my preferred way of receiving a response is by email to the address from which ACC received the original request, not by post and thank you for your time and assistance.

Yours faithfully,

David Lawson
116a Lynwood Road
New Lynn Auckland

Dear Government Services,

Thank you for confirming on 15th December 2015 that I would receive your response to my OIA question/s today (16th December 2015).

It would be greatly appreciated if you could confirm your reasoning for the non provision of the information that I have requested, beyond the dates you have indicated on two previous and separate occasions.

Yours sincerely,

David Lawson

Dear Government Services,

Please find my original reply to to your OIA response which I had incorrectly replied to under the following OIA request at https://www.fyi.org.nz/request/3341-acc-...

It would be appreciated if you could advise me the following under the Official Information Act as follows (I attach my original reply which was not addressed by Government Services);

From: David Lawson

December 18, 2015

Dear Government Services,

Thank you for your reply.

1) It would be appreciated if you could confirm whether ACC use the
Partially Paid indicator, to identify encounters between an ACC
approved treatment provider and an ACC client, where the ACC
treatment provider has provided information to ACC that maybe used
in circumstances such as the review process.

2) Would a partially paid indicator be used/retained in
circumstances where an ACC contracted treatment provider, is
requested further information about an encounter between them and
the ACC client by ACC or asked to appear on behalf of ACC at a
review hearing or district court on behalf of ACC.

3) Do ACC pay a fee for treatment providers that appear on behalf
of ACC at review hearings and District Court? If so does this
payment then get placed under the Partially Paid indicator when the
service is provided to ACC and then the indicator changed to Paid.

4) It would also be appreciated if you could provide all available
information on the charges that ACC pay for/to a treatment provider
to appear at either a review hearing and or district court.

Thank you.

Yours sincerely,

David Lawson

Yours sincerely,

David Lawson

Dear Government Services,

Thank you for your update confirming that you now require until the 19th February 2016 to respond to my OIA request.

I confirm that under s16(2) of the Official Information Act, my
preferred way of receiving your response is by email to the address
from which ACC received the original request, not by post and thank
you for your time and assistance.

I look forward to receiving your full response to my OIA request on or before the 19th February 2016.

Yours sincerely,

David Lawson