As per FSCO we must bill your extended health prior to billing your
car insurance company. We will require a statement from EHB to
submit to MVA in order for them to cover the difference.
We understand that unplanned issues may come up and you will need
to cancel an appointment. If this happens, we respectfully ask
that you notify us at least 24 hours prior to your appointment
time.
Our therapists want to be available to meet your needs as well as
the needs for all of our patients. When a patient does not show up
for a scheduled appointment, another patient loses the opportunity
to be seen.
Although we have always had a cancellation policy, circumstances
with MVA claims have caused us to reinforce this policy with a
signed agreement. If we are not provided with the appropriate
notice, you will be responsible for a Missed Treatment charge of
$50.00. For any Missed Massage Treatment, you will be charged in
accordance with the RMTAO as follows: 2nd missed massage – 50% of
the massage fee / 3rd missed massage – 100% of the massage fee.
Your car insurance will not be billed, nor will they pay for this
charge. This will be billed and must be paid by you for you to
continue to be treated under your claim. Under certain
circumstances management may waive this fee.
It is also imperative that when you submit to your EHB company,
payment is made to us immediately upon receiving those funds along
with the statement. This will then allow us to bill your auto
insurance company and not cause any delays with treatment.
Important OCF-1 Information:
The OCF-1 form (Application for Accident Benefits) must be
submitted to your auto insurance company within 7 days of your
accident to initiate your claim.
Without a completed OCF-1 form, your insurance company will not
process payment for any treatment related to your motor vehicle
accident.
SIGNATURE INDICATES YOU HAVE SUBMITTED OCF-1
ANY DENIED PAYMENT DUE TO INCOMPLETE OCF-1 WILL BE YOUR
RESPONSIBILITY.
YOUR MVA INSURER WILL NOT CONSIDER PAYMENT OF ANY INVOICES WITHOUT
RECEIPT OF A COMPLETED OCF-1
Dear Patient:
After experiencing a Motor Vehicle accident, we at Novo Healthnet
Limited know that the process can be overwhelming, so we have
decided to provide some general but important information for this
process and what you can expect from your Novo Healthnet Limited
team:
-
You will receive a package from your car Insurance. This package
is called "Accident Benefits Package" and/or "OCF1." This
package must be completed and sent to your Insurance within 30
days of you receiving it. Before you send it off, please provide
a copy to your attending Novo Healthnet Limited location so we
can keep a copy in your file in case your adjuster has any
future questions.
-
If you do not have all your Insurance information at the time of
your assessment you are to provide this on your 2nd visit. This
information includes your policy number, claim number, adjuster
name and insurance company name.
-
By law, patients must provide any attending Clinic with their
Extended Health Benefits (EHC/Work Benefits/Group
Benefits/Private Insurance) information.
-
Novo Healthnet Limited will ask you to pre-sign Claim forms so
that we can submit to your Extended Health Carrier twice a month
for reimbursement. After approximately 2 weeks of our
submission, you will receive payment from your Extended Health
carrier by mailed cheque or direct deposit. You are responsible
to then forward payment and statement to your attending
location. (Without this, we cannot submit to your Auto Insurance
for the remaining balance.)
-
If you do not provide all the necessary or correct information,
you will then be held responsible for any monies outstanding on
your account. If you have any questions or concerns, please do
not hesitate to ask our staff.