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Making or replying to an application

We can help if there’s been a claim for compensation following a motor vehicle accident but the injured person or the insurer can’t agree on something to do with permanent impairment or medical treatment.

Either the injured person or the insurer can make an application to resolve a dispute. Then the other party will reply to that application.

This is general information only; we know everyone’s situation is different and can be complex. That’s why we encourage you to call us on 1300 656 919 and we can talk you through which form suits your needs.

Making an application

You will need to fill out one of these application forms:

Permanent impairment dispute

Use the permanent impairment dispute form if your dispute is about:

  • whether the degree of permanent impairment caused by the motor accident is greater than 10 per cent
  • claims for non-economic loss (that the insurer does not agree to)

Once we receive this form we’ll provide an independent medical assessor who will examine the injured person and provide a certificate.

Treatment dispute

Use the treatment dispute form for disputes between the injured person and the insurer about past or proposed future treatment. For example:

  • a disagreement about what treatment is ‘reasonable and necessary in the circumstances’
  • a disagreement over whether the treatment is related to the injury caused by the motor accident

Once we receive this form we’ll provide an independent medical assessor who will examine the injured person and provide a determination.

Further assessment of a permanent impairment dispute

Use the further assessment of a permanent impairment dispute form if the medical dispute has previously been assessed by one of our medical assessors and:

  • the injury previously assessed has deteriorated and/or there is additional relevant information about the injury that is capable of having a material effect on the outcome of the previous assessment
  • all certificates relating to that dispute have been issued (including combined certificates and review panel certificates) and
  • the time period for lodging an application for either a correction of an obvious error or Review has expired and
  • any application correcting an obvious error has been finalised

Once we receive your application we’ll determine if it meets the requirements to be referred for further assessment.

Further assessment of treatment dispute

Use the further assessment of treatment dispute form if the medical dispute has previously been assessed by one of our medical assessors and:

  • the injury previously assessed  has deteriorated and/or there is additional relevant information about the injury that is capable of having a material effect on the outcome of the previous assessment and
  • all certificates about that dispute have been issued (including combined certificates and review panel certificates)
  • the time period for lodging an application for either a correction of an obvious error or Review has expired
  • any application correcting an obvious error has been finalised

Once we receive this form we’ll determine if it meets the above requirements to be referred for further assessment.

Review of a medical assessment

You fill out the review of medical assessment form if you’re an injured person who believes the medical assessment you’ve had was wrong in a material respect.

You must apply within 30 working days after the date of which the certificate was sent by the Medical Assessment Service.

If the application for review is accepted, we will generally refer the matter to a panel of three medical assessors. This may involve an examination by one or more of the panel members.

Application for a referral to MAS by a claims assessor or court

Use the application for a referral to MAS by a claims assessor or court form if:

  • you’re a claims assessor or a court referring a matter for assessment for the first time, further assessment or assessment again or
  • you’ve been told by the claims assessor or court to complete this form on their behalf

You must lodge a separate application form for each dispute (permanent impairment or treatment) for assessment.

Once we receive this form we’ll provide an independent medical assessor who will examine the injured person and provide a determination.

Replying to an application

Once an application is made to us to resolve a dispute, the other party (being you or the insurer) will have the chance to respond to the application and provide any additional information.

They fill out one of these forms:

Send in your application or reply

You are required to send a copy of your completed application or reply form  and all supporting information to us as well as the other party:

To send to us:
Medical Assessment Service
State Insurance Regulatory Authority
Level 19, 1 Oxford St
Darlinghurst NSW 2010
Or DX 10 Sydney