Health Care Facility | Insurers | Related Initiatives  

What is Service Provider Licensing?


The Ontario Government determined that a licensing and regulation regime for the business practices of health clinics (service providers) treating auto insurance claimants is appropriate and necessary. Service Provider Licensing (SPL) is implemented and overseen by the Financial Services Commission of Ontario (FSCO).

How does Service Provider Licensing relate to HCAI?

As per FSCO’s May 2015 HCAI Guideline, the process for submitting and adjudicating invoices changed on June 1, 2015. In order to receive direct payment for submitted invoices, Facilities must have a valid FSCO Service Provider Licence both at the time the treatment or service is performed and when the invoice is submitted. Without a Service Provider License, the Insurer must pay the claimant.


Service Provider Licensing and HCAI - process flow
(Click to enlarge)

How do I apply for a Service Provider Licence?

Visit FSCO’s service provider licensing webpages to apply. FSCO has developed a service provider licensing guide and instructional eLearning video to aid in the application process.
To apply for a Service Provider Licence, you require certain information from HCAI, including your HCAI Facility number. Videos and instructional text have been developed to provide every health care facility with valuable information it needs prior to applying.

Preparing to Apply for my SPL: VideoVideo / PDF