Enrolment FAQs
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- When did use of HCAI become mandatory?
- Where do I get privacy information about HCAI?
- How do I determine if HCAI applies to me and/or my health care business?
- Why am I unable to open www.hcai.ca to enrol?
- Why can’t I print the enrolment form?
- Is there a fee for using HCAI?
1. When did use of HCAI become mandatory?
All Ontario insurers were enrolled with HCAI by March 31, 2010. Effective February 1, 2011, every Ontario health care facility (and every associated health care provider) that directly submits OCF-18s, -21s and -23s to insurers in Ontario must do so only through HCAI.
If your health care business is not enrolled with HCAI, OCFs that your business faxes or otherwise delivers directly to insurers will be deemed not received.
2. Where can I get privacy information about HCAI?
Privacy information about HCAI is located here (in the Privacy section).
3. How do I determine whether HCAI applies to me and/or my health care business?
Refer to the Financial Services Commission of Ontario's HCAI September 2010 Guideline. Click here to access this Guideline.
4. Why am I unable to open www.hcai.ca to enrol?
In some cases, this may relate to security settings and/or browsers that are not set-up to handle the required 128bit encryption level. Some older browsers may have issues with sites that are "https" and don't switch automatically if you don't type in the whole address. Here is a strategy to overcome this:
- Type in the entire address exactly as follows and see if you can get in. https://www.hcai.ca
If this works, bookmark the page in your favourites folder.
5. Why can't I print the enrolment form?
You must have Adobe Acrobat reader in order to download the enrolment form. This is a free download, available from:
If you are having difficulty printing your enrolment form, look to see if you web browser is prompting you to initiate the print job (see image below). 
6. Is there a fee for using HCAI?
The online HCAI application is available to all health care facilities at no charge.
For facilities using PMS, IBC has covered the expense of developing an HCAI Integration Toolkit, which was done in consultation with Practice Management Software vendors. To determine if there will be additional costs to your facility to use HCAI compatible software, you should contact your PMS vendor.
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