Interim Process for OCF-23 – Treatment Confirmation Form in the Health Claims for Auto Insurance system and Minor Corrections to Other Forms

No. A-11/14
Property & Casualty
To the attention of all insurance companies licensed to transact auto insurance in Ontario

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With this Bulletin, the Financial Services Commission of Ontario (FSCO) is providing stakeholders with additional direction concerning the interim "read-in" process to be used for the OCF-23– Treatment Confirmation Form in the electronic Health Claims for Auto Insurance (HCAI) system beginning November 1, 2014.
FSCO is also advising of two minor corrections to the OAF 1 – Ontario Application for Automobile Insurance (Owner's Form), the OCF-1 – Application for Accident Benefits, the OCF-23 – Treatment Confirmation Form, and the OCF-21 – Auto Insurance Standard Invoice that were previously released with Bulletins A-06/14 and A-07/14 on August 26, 2014 and were to become effective for use beginning November 1, 2014.

Health Claims for Auto Insurance

As previously noted in Bulletin A-07/14, until the revisions to Part 8 – Signature of Applicant in the OCF-23 are reflected in the electronic Health Claims for Auto Insurance (HCAI) system (expected to occur in the spring of 2015), health care providers are to read-in the revisions to HCAI’s electronic version of the OCF-23 effective November 1, 2014.
Health care providers are to read-in the revisions to Part 8 as follows:
  1. Complete and print a copy of the OCF-23.
  2. Download a copy of FSCO’s revised OCF-23 effective November 1, 2014 and obtain the applicant’s signature on page 3.
  3. Attach page 3 to the printed HCAI copy of the OCF-23 to be kept on file at the Health Care Facility.
Insurers and health care providers and clinics should visit the HCAI information website ( [New Window]) to learn more about the OCF-23's completion and process in the HCAI system.

Minor Form Corrections

Corrections to Web Links on OAF 1, OCF-1, and OCF-23

The web links provided on the OAF 1, OCF-1 and OCF-23, issued with Bulletin A-07/14 are incorrect.  The correct links are:
Stakeholders are reminded to use only the corrected forms.

Correction to Date Reference

The OCF-21 released with Bulletin A-06/14 displayed the wrong form use date at the top of the form.  The correct date is November 1, 1996.  The corrected version of this form has been posted to FSCO’s website at The version of the OCF-21 form released with Bulletin A-06/14 is no longer approved for use.


The above revised forms are approved for use effective November 1, 2014.  In addition, the revised OCF-23 read-in process referred to above applies to documents that are delivered to HCAI on or after November 1, 2014, regardless of the date of the accident to which they relate.  Earlier versions of these forms are no longer approved for use on or after November 1, 2014.
You can access the forms at FSCO’s website at
Brian Mills
Chief Executive Officer and
Superintendent of Financial Services
October 31, 2014

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