Understanding cover lodgement and additional diagnosis
Released 04/05/2026
We’ve updated our guidance on what’s considered a request for cover. Requests for cover, as well as requests for additional diagnoses, must be lodged using one of the designated claim forms and include all necessary information.
This means you’ll be asked to:
- identify the specific injury, such as a sprain, contusion, or open wound (not just symptoms like pain, swelling, or stiffness)
- enter the diagnosed injury into the specified field on the designated form (for example on the ACC18 this is in the ‘diagnosis details’ or ‘injury details’ field, not in other fields, such as the reason the client is unfit to work)
- describe the accident that caused the injury, including the mechanism or series of events (for example, a fall, cut, or work-related activity)
- make sure the injury description and accident details align, including when and where the accident occurred.
Providing this information helps us assess claims faster and reduces the need to follow up with you for more detail — meaning quicker decisions for you and your patient.
To learn more about lodging and updating claims, and the appropriate forms to use, visit: