Insurer Report

The Workers' Compensation Insurers' Interface Data Specifications, version 6.1, at page 9 contains the clear definition and criteria for use of the "NAR" code:

 

"The claim is intimated and no further processing is required at the time, either because the injured worker does not pursue the claim, or the injured worker has only lodged the claim for report purposes".

 

A claims officer should consider each claim on its own merits. It is always understood that a worker's circumstances may change and he/she wishes to pursue a claim in which case the status may be changed according to the situation.

 

Instances where it may be used:

• When the worker makes it clear that he/she is wanting to lodge the application for compensation for notification purposes ie, a report only
• The worker does not pursue the claim after several requests from the insurer for further or additional information
• Worker does not provide a medical certificate after several requests
• Worker does not provide a statement after several requests

 

It is not to be used:

• Whilst an investigation is underway
• Waiting for the worker to provide or return a signed statement
• Waiting for the worker to attend an E&R appointment with an IME
• Waiting for a requested medical report to arrive
• Waiting for the worker to respond to correspondence
• Waiting for witness information
• If the worker is away on a holiday for a short time (reasonableness has to be used here)
• Awaiting MAT referral/appointment/result

 

Section 330 of the Act requires Q-COMP to monitor the compliance and performance of insurers.

 

To monitor the use of the "NAR" status, insurers will soon receive an additional exception report each month devoted to the use of the "NAR" status. This will help claims managers to better monitor their own claims. Self-insurers can expect Q-COMP's insurer advisors to monitor and audit the use of this code.