Definitions
7.1 Definitions
In this Part—
decision-maker means a medical assessor or merit reviewer.
internal review means a review of a decision by the insurer under section 7.9 (Internal review of insurer’s decisions).
medical assessment matter means a matter declared by Schedule 2 to be a medical assessment matter for the purposes of this Part.
merit review matter means a matter declared by Schedule 2 to be a merit review matter for the purposes of this Part.
miscellaneous claims assessment matter means a matter declared by Schedule 2 to be a miscellaneous claims assessment matter for the purposes of this Part.
A function conferred by a provision of this Act on a decision-maker in relation to any matter is to be exercised in accordance with the Commission rules by a decision-maker designated by the President except if it is—
a dispute about the assessment of a claim under Division 7.6, or
a merit review matter, or
a medical assessment matter, or
a miscellaneous claims assessment matter.
A function conferred on the Commission by a provision of this Act in respect of any matter is to be exercised in accordance with the Commission rules.
This Act’s bill:Explanatory memorandumSecond reading speech
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