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In the industry · October 30, 2008

HCAI Looks to Rise after Fall

After years of continuous development, HCAI has become a very important undertaking initiated by the Ontario Government in the hopes of utilizing today’s technology to ensure easy auto insurance claims processing. There are now many advantages to the HCAI system, such as the speed of OCF delivery, the versatility of adjuster responses, and effective processing of payment arrivals. The project has improved processing for all those who are involved, including; insurance companies, adjusters, health facilities, health professionals, and the FSCO.

In the first months of operation, Health Providers took advantage of HCAI by completing standard forms electronically, submitting documents faster via the Internet, tracking due dates for adjuster responses, and tracking adjuster approved limits on OCF-18s, OCF-22s, and OCF-23s. To the benefit of insurance adjusters, HCAI ensures that all mandatory fields on OCFs are completed and specified. ICD and CCI codes are also corrected before the form reaches an adjuster’s inbox.

The HCAI system is the result of years of work and millions of dollars in investments, which is why it is important for users to acknowledge the innovative goals and integration of the program’s development team. The first volume of users started working with the system in early 2007 via a test-market launch, which consisted of voluntary participants. The feedback drawn was encouraging and it assisted the development team in the clean-up of the HCAI system. Currently, developers are continuing their efforts to release a revised version of this system.

In order for HCAI to prosper in its operational growth, without encountering system malfunctions, there is a need for new users to participate throughout the rollout phase. Simultaneously, the development team will take the necessary measures needed to improve the system. With the proper utilization of administrator feedback, real time bugs and problematic situations can be resolved as they appear.

In the future, HCAI tracking will derive speed, accuracy, and simplicity in the correspondence between insurance companies and health facilities. Through user interaction, the Ontario government hopes to reveal important industry statistics including nature of injuries, length of rehabilitation, nature of rehabilitation, and other important information.

IBC remains committed to the HCAI project and is now working on a revival plan that is to be released in November of 2008.

Filed Under: In the industry Tagged With: cci codes, fsco, hcai, icd codes, ocf, ocf 18, ocf 22, ocf 23

The Antibex Team

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