Searchshow menu

Glossary

Term Definition
Agency of Injury Classification intended to identify the object, substance, or  circumstance that was principally involved in, or most closely associated with, the point at which things started to go wrong and which ultimately led to the most serious injury or disease..
Body Location Classification intended to identify the part of the body affected by the most serious injury or disease.
Calendar Year January to December.
Case Manager Workplace-based manager appointed and trained by the employer to undertake Case Management activities.  Responsible for initiating, co-ordinating and monitoring the rehabilitation process.
Cheque Receiving Cost Centre The cost centre to which Comcare sends the incapacity reimbursement cheques.
CIS Customer Information System
Claims Manager Comcare employee responsible for management of the claim.
Closed Claims Claims can either be closed manually or when they meet specific criteria PRACSYS will automatically close them (i.e no activity for a specified period of time).
Common Law Payments Amounts paid to an injured worker as a result of Third Party or Common Law action.
Cost to Date Payments made to date (payments as at the date of extraction minus recoveries) on claims excluding any GST amount claimable by Comcare as an Input Tax Credit.  Unpaid liabilities against a claim (eg outstanding incapacity payments) will not be included in cost to date.
Customer Relationship Manager Central point of contact within Comcare for all customer issues and requests.
Determination A decision accepting or rejecting a claim made by Comcare Australia in accordance with specific sections of the SRC Act.
Experience Year To estimate liability for the coming coverage year, claims data from recently ended periods, termed "experience years", is used.  This experience year period is from March to February.
Financial Year July to June.
Incapacity Incapacity is:
an inability to engage in any work.
an inability to work at the same level as undertaken immediately before the injury.
Incapacity benefit is a payment made by Comcare Australia, directly or indirectly, by way of income maintenance.
Incapacity Status The current incapacity status of the claim as recorded on PRACSYS:
  A At work (claim open)
  I Incapacitated
  G GRTW (graduated return to work) or partial incapacity
  D Deceased
  C At Work (claim closed)
  D Error code, treated as incapacity
  F Error code, treated as at work
Incapacity Duration The number of calendar days on benefit due to incapacity excluding the current spell.
Incapacity Spells The number of separate periods on benefit due to incapacity.  Periods which occur one day or less are not counted.
Liable Cost Centre This is the Cost Centre which has accepted liability for a claim ie. the claimant was attached to this cost centre at the date of injury.
Mechanism of Incident (MOI) Classification to identify the action, exposure, or event which was the direct cause of the most serious injury or disease.
Nature of Injury Classification to identify the most serious injury or disease sustained or suffered by the injured worker.
Non-Incapacity Includes medical, rehabilitation, lump sum and travel costs.
Open Claims Currently active claims
Payroll Cost Centre The daily incapacity advices are generally sent to the Personnel sections in agencies.  These are called Payroll Cost Centers and each claim needs to have one of these recorded against it.
PRACSYS Comcareâs workers' compensation data warehouse for registering and processing claims, records benefit payment and OHS notification/reporting statistics, and provides management information reports.
Premium The premium charged by Comcare is the contribution of an agency in respect of the estimated costs of that agency's workers' compensation costs for a given financial year.  It is based on fully funded principles and is designed to be responsive to the agency's claims experience.
Pre-Premium Claims Claims with dates of injury prior to the introduction of Comcareâs premium system on 1 July 1989.  These claims and the resulting expenditure may also be called 'uninsured'.
Rehabilitation A program offered to injured employees to assist them to return to their pre-injury employment status, or as close as possible to that status.  Rehabilitation is only one aspect of Comcareâs return to work program for injured employees.
Re-Opened Claims Claims that have been closed and re-activated.
Return to Work Plan A document detailing an injured employeeâs rehabilitation program including return to work objectives, time frames and a breakdown of proposed services and costs.
TOOCS Codes Type of Occurrence Classification System v 3 (NOHSC, NDS Codes)
Total Cost Claim Cost to date plus the likely future cost as at the date of the latest case estimate update.
View (Pracsys) Cost Centre grouping specified by your agency  and set up by Comcare (i.e regional or state structure).
Page last updated: 20 Mar 2014