How are forms submitted to HCAI?
While using the HCAI system, insurers/adjusters will receive OCF forms and invoices via submission from three possible channels -
- Web-based - Provider facility has been set-up to submit forms via the HCAI Web application and will receive responses from insurers via the HCAI Web application.
Restrictions - none
- Practice Management System (PMS) - Provider facility has built integration from their existing PMS which (prior to HCAI) was built to help them complete OCF forms for submission. Forms are completed via their existing systems. Adjusters will respond via the HCAI Web application and PMS users are able to view their responses.
Restrictions - "Need to discuss" and "Amend" functionality for Insurer users is unavailable
- Data Entry Centre (DEC) - Note that the DEC option is not available until 2010 - Provider facilities without access to the Web or PMS options may choose to submit forms via the DEC. The DEC accepts submission of paper forms which they transcribe on behalf of the Insurers. Adjusters will view and respond to forms via the Web for data collection purposes but also must submit a paper response directly to the Facility.
Restrictions - "Need to discuss" and "Amend" functionality for Insurer users is unavailable. Direct response to facility is required.
For more information about the DEC and related Insurer responsibilities, please click here
For a given form, the HCAI Web application will indicate clearly what the method of submission was.
*Step 4 may not apply if the insurer waives the OCF 18 or 22.
**Steps 7 and 8 may not be exactly as described. Insurers may build an invoice data feed to submit invoice and payment data to HCAI.
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