Icare Nsw Workcover

--- title: iCare - NSW WorkCover updated: 2025-08-05T17:39:07 created: 2024-07-24T08:51:49 ---

iCare - NSW WorkCover Last Updated: 5/8/25

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PDF above is the Email received on 5^th August about upcoming changes to: What is changing? icare has appointed a refreshed panel of CSPs for the TMF. On 8 September 2025, a cohort of claims will be transferred from QBE to EML. (click on the PDF above for more info) - CP 5.8.25

Last Updated: 8/8/24

Quick Overview:

• SIRA is the regulatory body for NSW Motor Accident Insurance (or CTP), and Workers Compensation
• We are not SIRA approved practitioners, but can provide services as we are exclusively interstate. We must add INT#0000 to all invoices due to this
• iCare employs GIO as the agent to deliver workers compensation claim management services
• Clients will have the 'iCare NSW WorkCover' tag on Splose, however, they will utilise the 'Private' appointment type. Also the 'CE to do billing' tag is useful to add to file as it is a bit tricky, and is usually very few clients, should be done after client's appt
• Billing is set up through Tyro online. However, currently only Jessica Beard is added as a provider. Additional providers can be added through iCare settings on Tyro

Requires claim number and capacity cert prior to appt

Reports can be requested, ahrr are not billed

Billing:

Create invoice from appointment in splose

Change item code to relevant iCare code

Client claim number and Provider Number (INT#0000) should be in extra invoicing details

Change price to iCare set rate

Create invoice

Go To Tyro website

Click 'get paid'

Process a claim, iCare

Enter all location/provider details

Select date of service

Select item

Add price

In service notes, add INT#0000

Submit invoice

Go back to Splose, mark as sent, add note to invoice that it was uploaded to Tyro with date

Extra Invoicing Details Example:

gioclaims@workerscomp.nsw.gov.au

+610238211852

Provider \#INT0000

Claim \#\_\_\_\_\_\_\_\_\_\_

\remove below once completed on invoice\

Billed through Tyro

No GST

Fees

Physiotherapy:

Exercise Physiology:

Further Information Regarding Interstate Registration:

2.5.5 Interstate practitioners delivering services exclusively outside NSW

A treating allied health practitioner practicing exclusively outside of NSW does not require approval under these Guidelines if the worker/s being treated are also living outside of NSW.

However, every service practitioner must adhere to the NSW workers compensation scheme requirements. This means:

• meeting the conditions for approval outlined in theguidelines for approval of treating allied health practitioners (excluding completion of the online training, however SIRA would encourage the completion of this training by interstate practitioners to assist with their knowledge of delivering services in the NSW workers compensation system)
• complying with the following sections of the Guidelines for the Provision of Relevant Services (Health and Related Services)
• Part 1: Code of conduct
• Part 2: Requirements for telehealth services
• Part 5: Billing requirements for the provision of relevant services under the workers compensation legislation
• Part 6: Invoicing requirements for relevant services under the workers compensation legislation (excluding pharmaceutical services)
• submitting allied health recovery requests for the prior approval of treatment services, and
• adhering to all policies and procedures set out in this guide

6.2 Invoices for relevant services rendered must:

a\) be submitted within 30 calendar days of the service provided

b\) include:

• the injured worker’s first and last name, and claim number
• payee name, address, telephone number and email address
• payee Australian Business Number (ABN)
• name of the relevant service provider who delivered the relevant service
• in the case of medical practitioner services, the provider’s:
• Medicare provider number (unless not registered with Medicare).
• Australian Health Practitioner Regulation Agency (AHPRA) number, and
• in the case of allied health services, the following provider numbers:
• the provider’s SIRA approval number (where applicable), and
• the provider’s AHPRA number/professional associationaccreditation/membership number
• in the case of allied health services provided interstate by a service provider who doesn’t have a SIRA approval number, the service provider number INT0000 must be included on the invoice instead
• in the case of allied health services provided to exempt workers, by a service provider who doesn’t have a SIRA approval number, the service provider number EXT0000 must be included on the invoice instead.
• relevant SIRA payment classification code or Australian Medical Association (AMA) Fees List item number (where applicable)
• service cost for each SIRA payment classification code or AMA Fees List item number and service duration (if applicable)
• date of service
• date of invoice (must be on the day of or after last date of service listed on the invoice).