What's New - HCAI Bulletins

Auto Reforms and HCAI

August 9, 2010

Auto insurance reforms take effect on September 1, 2010. As a result, the Health Claims for Auto Insurance (HCAI) application will be modified to support the new versions of Ontario Claims Forms used on the system. The forms which are available for creation of drafts and submissions as of September 1, 2010 8:00 am EDT will be:

• OCF-18 Treatment and Assessment Plan
• OCF-23 Treatment Confirmation Form
• OCF-21 Auto Insurance Standard Invoice

Planned HCAI System Outage

The servers will be offline and taken down at 5:00:01 pm EDT on August 31, 2010. During the outage, the HCAI Performance Meter will show red with the message “Auto Reform activation underway”. This means that all transactions that are intended to be processed prior to September 1st must be submitted through HCAI and successfully completed prior to 5:00 pm EDT August 31, 2010.

The new revised HCAI system, which will be aligned with the new SABS, will become available at 8:00 am EDT September 1, 2010 for all users. The HCAI Performance Meter will then move back to green.

Impacts to Submission Channels

HCAI system outage will impact all three HCAI submission channels:

• Web
• Integration with insurers
• Integration with health care facilities through Practice Mgmt. Software (PMS Integration)
• Data Entry Centre (DEC)

HCAI system outage will require every integrating insurer and health care facility to have all of their transactions successfully processed by 5:00 pm EDT on Tuesday August 31, 2010.

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