Authorised Provider model

The Authorised Provider model was established to meet the needs of larger employer customers by providing greater choice of claims management service provider.

In 2018/19, icare partnered with Allianz and its large customers to pilot and test the Authorised Provider model. Key learnings from the pilot have informed changes to the design of the model that provides further choice and flexibility for our eligible customers.

Choice for Eligible Customers

The Authorised Provider model gives eligible customers choice of preferred provider of claims management services, which will be delivered consistently with the principles of icare’s claims service model.

An eligible customer may choose to negotiate with the Authorised Provider to access services that are tailored to meet their needs. In some instances, this will involve a fee from the Authorised Provider.

Phased Approach for a Smooth Delivery

icare will deliver a phased approach to allow for a smooth delivery for our eligible customers to nominate and transfer to an Authorised Provider.

Phase 1

During first quarter 2020 onwards, the following eligible customers will be able to nominate and transfer to their choice of Authorised Provider for new claims management. Claims lodged prior to transfer to the Authorised Provider will remain with their existing provider until all claims are on the centralised icare platform.

  • Customers where base tariff premium (BTP) exceeds $1,000,000 or;
  • Customers that are part of a Group, where its Group BTP exceeds $1,000,000

Phase 2

During second quarter 2020 onwards, the following eligible customers will be able to nominate their choice of Authorised Provider. These eligible customers can transfer to their choice of Authorised Provider for new claims management at renewal date on or after 30 June 2020. Claims lodged prior to transfer to the Authorised Provider will remain with their existing provider until all claims are on the centralised icare platform.

  • Customers where base tariff premium (BTP) exceeds $500,000 or;
  • Customers that are part of a Group, where its Group BTP exceeds $500,000

Customer eligibility criteria may change in the future as we continue to assess performance and customer feedback.

Next Steps

We'll keep you informed of our progress over the coming months and provide further information about the Authorised Providers in late 2019.

If you have any questions, please read our list of FAQs or contact AuthorisedProvider@icare.nsw.gov.au

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