7Definitions

7 Definitions

7.1 Definitions

(1) 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.

(2) 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) a dispute about the assessment of a claim under Division 7.6, or

(b) a merit review matter, or

(c) a medical assessment matter, or

(d) a miscellaneous claims assessment matter.

(3) 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.

s 7.1: Am 2020 No 18, Sch 6.6[38] [39].