PPN BASICS
This system must be used by Claims Advisors to locate and select the appropriate PPN clinic for a client.
What is the INDM Supplier database/list?
Clients always maintain the right to choose this—even if referred to the PPN.
What is their own treatment provider?
Attending a PPN clinic often results in faster ___ times.
What are recovery times?
When a client agrees to the PPN, the CA should immediately perform this type of transfer.
What is a warm transfer?
If the CA can’t reach a client about the PPN, they should use this tool to RECONNECT.
What is the AB Package/Follow Up Assistance call reminder?
PPN Clinics were selected because they deliver this, just like DGIG expects.
What is superior customer or client service?
Written consent may be provided in this format as well as on paper.
What is electronically?
PPN clinics offer support by assisting clients with completing these required insurance documents.
What are Accident Benefit (AB) forms? or What is an Application for Accident Benefits (OCF-1)?
This tool is used when you can’t connect the client to the clinic in real time, but still need the referral sent.
What is the Agent’s block?
If a client is unsure about participating in the PPN, the CA should explain these—such as early intervention, excellent care, and clear recovery goals.
What are the benefits of the PPN?
These types of relationships do NOT exist between DGIG and PPN clinics.
What are financial relationship?
Before their initial assessment, PPN clinics must have the client sign this document.
What is the Treatment and Assessment Disclosure Notice (TDN)?
PPN clinics provide this service, meaning clients do not have to manage billing complexities.
What is direct billing?
When completing an Agent’s Block, the CA must always include permission for the clinic to do this.
What is contact the client directly?
When a client is seeking passive treatments, CAs should promote these kinds of evidence-based treatment plans.
What are active or physiotherapy-based treatment programs?
This type of messaging must always be delivered when offering the PPN, ensuring the client understands their choice and any potential conflict of interest.
What is mandatory PPN messaging?
Choosing their own provider or changing providers does NOT affect this.
What is the client’s entitlement to benefits?
This type of approach, used by PPN clinics, involves working with multiple health professionals toward recovery.
What is a multidisciplinary approach?
The Agent’s Block should never include this type of information.
What is: injury details, rehab status, personal medical history?
Some clients delay treatment because they think they must see a doctor first. The CA should remind them of this important fact.
What is that a doctor’s note is not required to begin physiotherapy?
This SABS section requires disclosing the insurer’s potential conflict of interest when making referrals.
What is Section 46?
This benefit results from PPN clinics offering immediate appointment availability.
What is faster access to treatment?
This PPN provider can be reached through its centralized intake line at 1‑844‑662‑5886.
What is Altum Health?
While CAs cannot recommend therapies outside scope, they can explain that recommendations such as massage belong to these professionals.
What are the treating physiotherapist or chiropractor?