Forms
Treatment and Assessment Plan
OCF-18
This is where we input our requests for Treatment (OCF-18, OCF-23)
Med/Rehab Tab
What is 10 business days (or 14 days)
The principal that one insurer will indemnify another insurer for some or all of an AB claim as a result of an MVA between vehicles or two different classes
What is Loss Transfer
Treatment Confirmation Form
OCF-23
Passenger in an automobile is found in this level of priority
Priority Level C
This is where we would indicate Yes to Priority or Loss Transfer if applicable
The Summary Screen
We must contact the client at least every X amount of days?
90 Days
We cannot communicate with an Insured if we have received this on the file indicating a legal representative
An Authorization and Direction
Expense Claim Form
OCF-6
Person listed as an occasional driver on a policy is this priority level
Level B
Would your answer change if they were listed as a principal driver?
If the Clinic PPN has been accepted, we can find the details here
The Clinic PPN Tab
Before setting non-MIG reserves, we must first open them for this amount of money
This is the benchmark score that is considered a pass with our CPT (Core) results
270
Assessment of Attendant Care Needs
From 1
Someone who is hit as a pedestrian or cyclist is this level of priority
Priority Level D
You would go to this screen to determine if any Optional Benefits had been purchased
What is the policy screen
These are the reserves that are to be set on a MIG file with no specified benefits as per the MIG reserving procedure
Cost of Exams Indeminity - 500
Med/Rehab 270 - 3000
Cost of Exams Expense - 1200
These benefits must be incurred by the insured before we can pay (there are 3)
Election of Income Replacement, Non-Earner or Caregiver Benefits
OCF-10
Before we can proceed with a signed statement, stat Dec of EUO we require this on File
The OCF-1
Any forms received or letters sent will be found in this section of Claim Center
Documents
Our internal procedure indicates that we must respond to an OCF-18 within this many days of receipt, and if outside of that, we must fax our response to the lawyer or courier to the claimant (if unrepped)
What is 5 business days
If someone fails authentication on an inbound call, this is what we do