Queensland Consolidated Acts

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Deciding payment requests

232R Deciding payment requests

(1) An insurer must approve or refuse a payment request within—
(a) 20 business days after receiving the request; or
(b) if, within the period mentioned in paragraph (a) , the insurer asks for further information to help the insurer make the decision—20 business days after the information is received.
(2) A regulation may prescribe matters about an insurer deciding a payment request.
(3) If the insurer approves a payment request, the insurer must pay the amount requested to the person who made the request within 20 business days after approving the request.
(4) However, the insurer is not liable to pay a part of the amount requested in a payment request that exceeds an amount prescribed by regulation for the treatment, care or support.
(5) If the insurer refuses the payment request, the insurer must give written notice of the decision to—
(a) the person who made the payment request; and
(b) if the person who made the payment request is not the eligible worker—the eligible worker.

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