July 2, 2014, Issue 7
Service Provider Licences will be Required as of December 1, 2014
As of December 1, 2014, you will require a service provider licence issued by FSCO to invoice and receive payment directly from automobile insurers for specific "listed expenses" in connection with statutory accident benefits provided on or after December 1, 2014. Unlicensed service providers will not be allowed to submit OCF-21 forms through HCAI for treatments and services provided after November 30th, 2014.
*Post Publication Update: Unlicensed service providers will still be required to submit all OCF forms through the HCAI system, but will NOT be able to receive direct payment from auto insurers. Unlicensed service providers must seek payment from their claimants, who in turn, will seek reimbursement from their insurer.
Service Providers Are Taking Action
FSCO began accepting service provider licence applications on June 1, 2014. Hundreds of applications have already been submitted and new applications continue to be submitted daily.
If you haven’t done so already, submit your service provider licence application by August 31, 2014. Don’t delay! This is the only way to be guaranteed a FSCO licensing decision by November 30, 2014.
The due diligence involved in FSCO’s review of applications takes time and includes a criminal background check. If you delay applying until later this fall, you may not be issued a licence until well into the new year.
Why Should Your Business Apply Now?
If you want to continue to be directly paid by insurance companies you will need to have a licence by December 1 2014, when the law will make the licence a requirement for this activity.
As a licensed service provider, you’ll be able to continue to use HCAI to bill automobile insurers directly for specific SABS "listed expenses" provided on or after December 1, 2014.
If you do not have a licence, your SABS patients will be personally responsible for paying you for the goods and services you provide and then they will have to seek reimbursement from their insurance company.
Stay Tuned for Service Provider Webcasts
Next week, FSCO is set to release the first in a regular series of webcasts aimed at addressing frequently asked questions about service provider licensing.
Service Provider eNewsletter subscribers will be notified of new webcasts. If you haven't done so already, make sure to subscribe to FSCO's Service Provider eNewsletter to be notified about new webcasts as well as other important licensing information and updates.
Check out FSCO’s Online Service Provider Licensing Guide
Toll free: 1-800-668-0128
Fax: (416) 590-7070