Claims Doctor

Frequently Asked Questions

Information about eligibility, cost, claim numbers, telehealth, certificates, and follow-up for NSW workers compensation and CTP matters. This is general information only and not a substitute for personalised medical or legal advice.

Eligibility & Who We Help

Is telehealth accepted for WorkCover and CTP certificates in NSW?
Yes, when clinically appropriate. NSW workers compensation and CTP arrangements are regulated by SIRA. Telehealth consultations can be used for medical assessments and certificates where suitable for the patient and consistent with applicable guidance.
Who is eligible — is the service only for people in NSW?
Claims Doctor currently focuses on NSW WorkCover and CTP certificates, because these schemes are administered under NSW rules. If you are unsure whether your matter is NSW-based, contact reception before booking.
Can I see Claims Doctor if I already have a treating GP?
Yes. Claims Doctor provides an independent medico-legal opinion alongside your existing treating relationship. We don't replace your GP — we specialise in the WorkCover and CTP documentation that many GPs prefer to avoid.
Can I see Claims Doctor for a psychological injury?
Yes. Psychological injuries — including PTSD, anxiety, depression, and adjustment disorders arising from work or motor accidents — are covered. Consultations are conducted via confidential, encrypted telehealth.

Cost & Billing

How much does a consultation cost?
With a valid claim number, there is typically $0 out-of-pocket cost. Claims Doctor bills the relevant insurer directly through Tyro Health. If you don't yet have a claim number, you pay $112 upfront — fully reimbursable once your claim is accepted.
Do I need a claim number before I book?
No. A claim number is helpful for billing and paperwork, but you can book before your claim is lodged or while it's being assessed. Bring any reference numbers, employer, or insurer details you have.
What if my claim number isn't approved yet?
You pay $112 upfront. This fee is fully reimbursable once your insurer accepts the claim. Most patients get this back within weeks.
Does Claims Doctor bulk bill?
Claims Doctor bills WorkCover and CTP insurers directly — not Medicare. There is no gap payment for patients with a valid claim number.

Certificates

How quickly can I get a Certificate of Capacity or Certificate of Fitness?
Same-day appointments are often available. The certificate is completed during the consultation and a digital copy is sent to you, your employer, and your insurer shortly after.
Is the certificate accepted by my insurer?
Yes. SIRA Certificates of Capacity and Certificates of Fitness issued by Claims Doctor are accepted by all NSW WorkCover and CTP insurers.
How long is a certificate valid?
Validity depends on your clinical situation and what the insurer requires. WorkCover certificates can be issued for up to 28 days. Many patients need periodic reviews — we can conduct these via follow-up telehealth.
What if my employer or insurer questions the certificate?
Claims Doctor certificates are issued by an AHPRA-registered doctor with specific expertise in SIRA requirements. If there is a dispute, we can provide supporting documentation. For legal challenges, speak with your solicitor.

Telehealth & Appointments

How does the telehealth consultation work?
You book online or by phone, then connect via a secure Google Meet video call at your appointment time. The consultation takes 15–30 minutes. You'll need a device with internet (phone, tablet, or computer). Phone-only consultations are also available.
What do I need to have ready for my appointment?
Have your claim number, insurer name, and details of how and when the injury occurred. Any previous medical records or imaging related to the injury are also helpful but not required.
Are consultations confidential?
Yes. All telehealth consultations use end-to-end encrypted Google Meet and comply with the Australian Privacy Principles. Phone consultations are also available.
Can I book a follow-up?
Yes. Follow-up appointments are typically 15 minutes. Most WorkCover patients need appointments at least every 28 days — the regulatory maximum gap between WorkCover certificates.

SIRA, icare & the Claims Process

What do SIRA and icare mean for my claim?
SIRA (State Insurance Regulatory Authority) regulates NSW workers compensation and motor injury insurance. icare delivers some workers compensation services for many NSW employers. Your employer, insurer, or legal representative can confirm who administers your claim.
When should I notify my employer of a workplace injury?
As soon as possible. You should notify your employer and lodge your WorkCover claim within 6 months of the injury date — though exceptions apply in certain circumstances. Getting medical documentation early protects your entitlements.
Can Claims Doctor arrange specialist referrals?
Yes. As part of your claims management, Dr Laidlaw can refer you to specialists including physiotherapists, psychologists, orthopaedic surgeons, neurologists, and occupational therapists, as needed.

Still have questions?

Call us on (02) 7257 7918 or SMS 0418 171 898. Or book a consult and ask Dr Laidlaw directly.

Book a same-day consult