Workers compensation

COVID-19 update: SIRA has introduced a number of changes to help medical, allied health practitioners and injured people during the COVID-19 pandemic. These include:

  • Telehealth services so that treatment consultations can occur via video or over the telephone
  • Find out more information about the changes to certification for workers compensation.
  • Updated our Fees Orders and Workers compensation guidelines to remove the requirement for insurer pre-approval for many  treatment services delivered by telehealth.

In brief

All massage therapists providing services to workers should read this information on the Allied Health Recovery Request before you use this form for the first time. Massage therapists must seek pre-approval for treatment services. The AHRR is the form massage therapists should use to seek pre-approval from the insurer.

A workers compensation guide for allied health practitioners provides essential information regarding the delivery of treatment services in the NSW workers compensation system. We also strongly recommend you view our 15 minute webinar on the Allied Health Practitioner Framework.

The workers compensation guidelines provides additional information on how the claims process works, and what type of payments and expenses may be available.

Forms you might need

Publications you might need

Fees and invoicing

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Get treatment approval first

If the insurer denies liability, or declines a treatment request because it does not meet 'reasonably necessary' criteria, the insurer is not responsible for payment of accounts.

So before treating your patient please confirm they have submitted a workers compensation claim, and that you have approval from the insurer to start treatment.

The fees orders provide a maximum fee for services provided to a worker. You can't exceed the maximum fees stated in the Fees Order.

All fees you can charge are listed in the relevant fee order below:

Historical health-related fees

These are the historical health related fees and rates orders.

When invoicing, we have a payment system that requires itemised invoices. This system enables consistent data collection from service providers and insurers and ensures accurate payments.

What your invoices will need to include

    • worker's first and last name, and claim number
    • payee details
    • ABN
    • name of the medical practitioner or service provider who provided the service
    • SIRA workers compensation approval number or medical practitioner's Health Insurance Commission provider number (where applicable)
    • date of service
    • SIRA workers compensation payment classification code or AMA item number where applicable. Refer to the technical manual for further information:
      • self and specialised insurers, or
      • nominal insurer
    • service cost for each SIRA workers compensation payment classification code or AMA item number and service duration (if applicable)
    • date of invoice (must be on the day of or after last date of service listed on the invoice)

    To prevent delays in payment, these details will need to be provided on all invoices.

Invoices should be submitted within 30 calendar days of the service being provided.

Send your invoices to the worker’s insurer.

Do I need a SIRA provider number?

We undertook a review of the allied health practitioner management framework. The purpose of the review was to:

  • increase focus on recovery at work
  • improve consistency across the various allied health practitioner groups
  • reduce red tape.

As a result, massage therapists no longer need to be approved by us to deliver services in the NSW workers compensation system but the Massage Therapy Fees Order remains in place.

This change took effect from 1 January 2016.

Further information

Independent consultants (peer reviews)

Independent consultants are approved by us to provide independent peer review of, and advice, to allied health practitioners regarding injury management.

If you would like the assistance of an independent consultant visit independent consultants.

Where required, you must participate in a review by an independent consultant as outlined in the guideline for approval of treating allied health practitioners.