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Coding FAQs

Ontario’s auto insurance system is regulated by the Financial Services Commission of Ontario.

If an injured person wants to claim medical and rehabilitation benefits for treatment services such as physiotherapy, chiropractic, massage, etc, the injured person’s health care practitioner is generally required to submit standard forms that request approval from the insurer for the goods and services proposed. Similarly, invoicing is carried out by health care providers through the auto insurance standard invoice.Health care providers need to properly complete these forms and insurers need to comprehend the information submitted by way of the forms. It is hoped that the materials on this page may promote a common understanding of how OCF and injury and treatment codes can be best used on OCF. Our common goal is to make sure injured persons can access the right treatment at the right time as efficiently as possible.Coding FAQCCI Section 7 Codes (September 2012)How to code x-rays as part of the MIG (December 2012)What the codes do and don’t do (April 2015)Coding BulletinsHCAI code changes effective June 1, 2015 - Insurers (Updated May 28, 2015)HCAI code changes effective June 1, 2015 - Health Care ProvidersInsurer reason code changes effective June 1, 2015GAP code changes effective June 1, 2015Complete ICD-10-CA 2015Complete CCI 2015*The materials on this page strive to bring greater clarity a) to the process health care providers must follow to complete Ontario Claim Forms (OCF) and b) to insurers about how to interpret the information submitted on OCF. Many of the materials will be developed jointly by IBC and the Coalition Representing Health Professionals in Automobile Insurance Reform (Coalition).