New South Wales Consolidated Acts

MOTOR ACCIDENT INJURIES ACT 2017 - SECT 7.19

7.19 Internal review required before medical assessment

(1) A medical dispute about a decision of an insurer may not be referred by a claimant for assessment under this Division until the decision has been the subject of an internal review by the insurer under Division 7.3.

(2) A medical dispute about a decision of an insurer may be referred for assessment under this Division without an internal review of the decision by the insurer if the insurer has failed to complete an internal review and notify the claimant of the decision on the internal review as and when required to do so, or has declined to conduct a review.

(2A) This section does not apply to a medical dispute about the degree of permanent impairment of the injured person that has resulted from injury caused by the motor accident.

(3) This section does not apply to a medical dispute about a decision of an insurer relating to a medical assessment matter of a kind prescribed by the regulations.