Once your injury is medically stable, the CTP Insurer handling your claim may discuss arranging an Injury Scale Value (ISV) medical assessment. It will take into account available medical evidence, a medical examination and how an individual has been impacted by their injury (see Part 2 of the Civil Liability Regulations 2013 for more information).
The purpose of an ISV Medical Assessment is to determine the item number for your injury (or injuries). Following receipt of your ISV report, the CTP insurer will determine the type/s and amount of compensation you are eligible for.
Schedule 1 of the Civil Liability Regulations 2013 sets out item numbers, injury descriptions and a range of values for particular injuries, on a scale of 0-100. If you have multiple injuries, your dominant injury (on which your compensation will be based) is the injury with the highest ISV. View the ISV Table, listing ISVs and their associated monetary value.
When you can request an ISV medical assessment
You, or your legal representative, may request the CTP Insurer to arrange an ISV medical assessment if:
- your injury is medically stable
- liability for the accident has been determined, and
- you have not reached a settlement agreement with the CTP Insurer.
If the above requirements are met, but your injuries are unlikely to receive an ISV of 8-100, or are not sufficiently stable, the CTP Insurer may decline your request. They must notify you and provide a basis for the decline. If your request was declined because of insufficient evidence, they must notify you of what evidence is required.
Who conducts ISV medical assessments?
ISV medical assessments are undertaken by an Accredited Medical Practitioner, through the Motor Accident Injury Accreditation Scheme (MAIAS).The assessment must be undertaken by an Accredited Medical Practitioner, however in some circumstances (for example, if you and the CTP Insurer mutually agree that it is not required, if there is no health professional accredited to undertake the assessment, or if the court determines an ISV assessment is not required), the CTP Insurer may obtain a report from a health provider who is not accredited under the MAIAS.
About the MAIAS
The MAIAS was established to create an independent system that provides consistent, objective and reliable ISV medical assessments. It accredits health professionals to undertake ISV medical assessments and allocate an injury item number based on the description of injuries sustained in motor vehicle accidents which occurred on or after 1 July 2013.
For further information about how doctors are accredited under this scheme, visit MAIAS.
Information and assistance
Our “ISV Medical Assessments” fact sheet is available to download. Or you can contact the claims consultant managing your claim for further assistance.