WorkCover Claims
Praxi supports billing for workers' compensation (WorkCover) claims across all Australian states and territories. Each jurisdiction operates its own scheme with different requirements, fee schedules, and approval processes.
State-Based WorkCover Schemes
| State/Territory | Scheme | Insurer |
|---|---|---|
| VIC | WorkSafe Victoria | Allianz, EML, Gallagher Bassett |
| NSW | icare / SIRA | Various scheme agents |
| QLD | WorkCover Queensland | WorkCover QLD |
| WA | WorkCover WA | Various approved insurers |
| SA | ReturnToWorkSA | ReturnToWorkSA |
| TAS | WorkSafe Tasmania | Various insurers |
| ACT | ACT WorkSafe | Various insurers |
| NT | NT WorkSafe | Various insurers |
| Commonwealth | Comcare | Comcare |
Fee schedules, pre-approval requirements, and reporting obligations vary by state. Praxi applies the correct fee schedule based on the client's claim jurisdiction.
Adding WorkCover as a Funding Source
- Open the client record and go to Profile > Funding Sources
- Click Add WorkCover Claim
- Enter the claim number provided by the insurer
- Select the state/territory jurisdiction
- Enter the insurer name and contact details
- Record the approved number of sessions (if specified)
- Note any pre-approval requirements
Invoicing WorkCover
- Complete the appointment and mark it as attended
- Create the invoice -- Praxi applies the WorkCover fee schedule for the relevant jurisdiction
- Add the claim number to the invoice (auto-populated from the client's funding source)
- Submit the invoice to the insurer via their preferred method (electronic or PDF)
- Track payment status in Payments > Outstanding
Some insurers require invoices to be submitted within a specific timeframe (commonly 30 days). Submit promptly to avoid payment delays.
Report Requirements
WorkCover claims typically require regular clinical reports:
| Report Type | Frequency | Purpose |
|---|---|---|
| Initial assessment | After first session | Confirm diagnosis and treatment plan |
| Progress report | Every 6-10 sessions (varies by insurer) | Update on treatment progress |
| Discharge report | End of treatment | Summary and recommendations |
Praxi includes AI-assisted WorkCover report generation with state-specific templates (e.g., VIC WorkSafe PS604 for initial assessments, PS109 for progress reports). Navigate to Documents > New Report > WorkCover to access them. The AI can pre-fill sections based on your clinical notes, which you then review and sign.
Practice WorkCover Insurance
Practice owners can also manage their own WorkCover insurance policy within Praxi at Policies > WorkCover:
- Record your policy number, insurer, and premium details
- Get premium estimates based on your declared wages and state
- Receive renewal alerts when your policy is approaching expiry
- View state scheme information (scheme name, website, contact details, base rates)
Common Issues
| Issue | Resolution |
|---|---|
| Claim number not recognised | Verify with the insurer; the claim may not yet be registered |
| Sessions exhausted | Request additional session approval from the insurer |
| Invoice rejected | Check fee schedule compliance and claim number accuracy |
| Report overdue | Use Praxi's reminder system to track report due dates |
Who can manage WorkCover claims
Practitioners (and interns, under supervision) add WorkCover funding sources, create invoices, and submit WorkCover reports for their own clients. Practice owners, practice managers, and accountants have practice-wide access to WorkCover billing.