Test an injury against the statutory threshold for benefits or damages

Key facts

Human involvement
YellowClose supervision
How AI is used
From the diagnoses the lawyer lists, set each injury against the categories in the statute or guide the lawyer has identified, and list the benefit or damages consequence that guide actually states. Do not classify the injury and do not state a damages bar that the guide does not state.
What the lawyer must review
The lawyer decides the classification and what it does to benefits or damages. In the NSW CTP scheme, SIRA says a threshold injury is a soft-tissue injury or a threshold psychological or psychiatric injury. Adjustment disorder and acute stress disorder are threshold psychiatric injuries. A diagnosed illness such as depression or PTSD is given as an example of a non-threshold psychiatric injury. Fractures, nerve injuries, specified tendon, cartilage, meniscus or ligament ruptures, and spinal nerve-root damage meeting the radiculopathy criteria are given as examples of non-threshold physical injuries. If one injury is not a threshold injury, the claim is not a threshold-injury claim. People with a threshold injury may receive weekly income support, medical and treatment expenses, and domestic and personal care for up to 52 weeks. The insurer decides, gives a liability notice within nine months of the claim, and an internal review must be asked for within 28 days of that notice. SIRA's Dispute Resolution Service is the next step the page describes. The page opened does not state a rule about common-law damages.
Written for / version
US

Open a jurisdiction version of this task to see which instruments apply: US

Who does what

Who does what
RoleWhat they do
AssistanceFrom the diagnoses the lawyer lists, set each injury against the categories in the statute or guide the lawyer has identified, and list the benefit or damages consequence that guide actually states. Do not classify the injury and do not state a damages bar that the guide does not state.
LawyerSet the scope, supervise the work closely, verify every part relied on, resolve omissions and exceptions, and approve the exact output.

Checklist

  1. Use the diagnoses, not the symptom description, as the SIRA page says the threshold is based on diagnosis.
  2. If any injury is outside the threshold category, do not describe the claim as a threshold claim.
  3. State only the consequence written in the guide for that scheme. Do not import the Victorian damages gateway into a NSW claim, or the reverse.

Sources

These are suggested working checks. Confirm the required checking with the responsible lawyer before work starts; the checking approach does not establish permission to use AI.

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