HCAI & Auto Reform

The HCAI application enables health care facilities that treat people injured in automobile collisions to transmit various Ontario Claim Forms (OCFs) to insurers electronically. Insurers then electronically adjudicate the OCFs.

HCAI & Auto Reform

Some of the regulatory reforms the Ontario Government has introduced to Ontario’s auto insurance system impact the OCFs that are submitted using the HCAI system. As a common platform for the transmission of OCFs, HCAI provides a solution that allows both health care facilities and insurers to leverage the changes effective September 1, 2010.

HCAI has worked collaboratively with the Financial Services Commission of Ontario (FSCO) to ensure that the HCAI system is compliant with the new regulations and the revised OCFs.

As of September 1, 2010 all new submissions for treatment, assessment and invoicing must be submitted by health care facilities using the revised forms. The revised OCFs are:

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