| Table of Contents | ||||
|---|---|---|---|---|
|
...
Insurance information
...
For more information on the insurance process, click on the links below.
...
Click here for the Hockey Canada insurance program information, including How to make a claim, When you are covered, FAQ, and more.
...
| Info |
|---|
A field called Approved by Branch is available in the claim creation and claim search. This will allow the branch to indicate the claim as approved, and Hockey Canada can filter this information. |
See the chart below
...
for the status changes
...
Scenario | Current Status | New Status |
|---|
Attached is a new injury report without attaching insurance receipts. | Pending | New Injury Report |
Attach a new injury report and simultaneously |
attach insurance receipts. | Pending | New Document |
Attaching an insurance receipt to a previously entered injury report | New Document | New Document |
An injury report with or without insurance receipts that is actively being worked on by the HC insurance team. | Open | Open |
An injury report with no insurance receipts is processed. | Filed | Filed – NW (This file can be reopened) |
An Injury report with insurance receipts is processed. | Filed | Filed |
Best Practices
...
Before opening a new claim, confirm that one hasn’t hasn't already been started for this participant.
If a member does have more than one profile in HCR, they should be merged together before starting a claim to ensure payment is not paid twice on a claim.
Our goal is to have zero documents emailed for an insurance claim. Use HCR for this - it improves efficiency and is more secure.
Enter the claim as soon as you receive the injury report or as soon as you canpossible. Try to avoid stock-piling claims before entering them into HCR.
To keep the attachment size low, scan to PDF instead of to a picture format. You can also scan to a lower resolution to keep decrease the file size down. Insurance The insurance file limit is set to 20MB.
Always label the document you add to HCR, so it is easier to reference later , and can be managed with document retention schedules later too.
Submitting a Claim
...
Before starting a new claim, remember to always do a search for the participant to confirm if a claim has been started. If a claim is found, review the information to confirm if it is for the same accident or if it is a new one. To search for the participant, enter their First/Last name or HCR #.Starting a claim:
Claim for a previous season
If you want to claim for a season other than the current one, you will be notified that your claim has not been created in the current season.
In addition, an email will be sent to users of the Insurance module to notify them that a claim has been created for a previous season.
...
Claim for the current season
From the Task menu options, click on Insurance.
To enter a new claim, click on +Add.
...
From the pop-up window, you can search for the member by First Name/Last Name or by HCR number.
...
| Info |
|---|
Birth date is optional but will narrow the search. |
...
| Info |
|---|
If the member is not found, you will need to create a new profile by going to the Member Tab. (Please contact the applicable member branch to help with this) |
If more than one result is found, review the following information - : name, HCR#HCR number, date of birth, primary association, and address, and select the correct member.
...
Open a New Claim
...
Claim
...
Reserve and Status – (Hockey Canada - Only - ): If you know the amount for the reserve, you can enter it, and the status will automatically change to open Open. If you do not know the amount, you can leave it at $0 with the status as pending.
| Infowarning |
|---|
Only Hockey Canada will have access to enter a reserve amount. |
Status (Hockey Canada only): The drop-down menu indicates the claim status.Accident: General information – You will be asked to provide basic information for
Open
Filed
Pending
Open on Hold
Filed - NW
New document
New injury report
Accident
The system will ask you to enter basic information about the accident. If the information is not available when you are starting information about the Location/Spot, the Penalty Involved, the Event Type, and the Event Time is unavailable when you start the claim, you can select ‘No info’ No Info from the specific dropdown drop-down list. The mandatory fields are: Participant type, office, accident date, location, event type and time.
...
Injury: Information is collected here about the injury. The following information is mandatory: body part, injury nature, on site care, accident cause, wearing when injured and absence. If the information is not available at the time of entering the claim, select ‘No info’. When injured, you can select more than one option if necessary
Mandatory fields are those marked with a red asterisk (*).
...
Injury
Injury information must be completed.
Mandatory information is marked with a red asterisk (*).
If the information is unavailable when the request is entered, select No Info.
You can select multiple options for equipment worn in case of injury.
| Info |
|---|
If, during the accident 2 , two different body parts are injured, you can add a comment in the notes field |
In the documents select, click add document to upload the injury report. The file size to upload is 20mb. There will be two file types - injury report and insurance claim invoice available for doc types.
...
In this section of the claim, upload the insurance form by clicking Add document.
| Info |
|---|
The insurance form must be uploaded with the claim in order for the claim to be processed. |
Insurance Info: Enter the insurance information of the player if the information is available.
...
Notes field. |
...
Insurance Info
Enter the insurance details of the player, team official, match official, or spectator if available.
| Info |
|---|
Hockey Canada |
...
Insurance is a secondary insurance provider. Primary information is required for the claim to be processed. If the primary insurance provider is not known |
...
when entering the claim, please note that it will be requested before the claim can be processed. If the injured player or the player's parent/guardian |
...
does not have private health insurance, it should be noted in this section for the claim to be processed. |
...
Documents
In the document selection, if you have the documents at the time of claim entry, click Add document to upload the injury report, insurance claim invoice, or receipt. The size of the file to be uploaded is 20 MB.
| Info |
|---|
The insurance form must be uploaded with the claim for the claim to be processed. |
...
Team Info
...
If the member is rostered on part of a team, select the team that with which the injury occurred with. If it is not listed select ‘Non Listed Team’, . Select Non-Listed Team and manually enter the team name and division if they are not listed.
Team Official
...
Enter the team official listed on the insurance claim form and his position as a game official.
Branch approval
If the branch has accepted the claim, check this box. You can check this box later if the claim has not yet been accepted.
When you have finished, click on Submit.
...
Claim display
Once the a claim has been submitted, it will appear in the list, it will show you showing the season, the claim #number, type of member insurance claim type, injury, reserve, date, and status.
...
Update claim
Accident tab
If you click on the an insurance claim, the Accident tab on the side panel will open, and allow you can update to update the information if required.
Use the blue pencil to change the information as needed.
...
Updating a Claim:
To make an update click on the claim, opening the side panel, use the blue pencils to edit the information.
To add an invoice for a claim, open the side panel and click on Injury. Select ‘Add document’ and select the Invoice as the type of document.
...
Processing a Claim:
Worksheet: Hockey Canada Only
...
Injury Tab
To modify or add information concerning the injury, click the Injury tab and make changes or additions using the blue pencil.
...
To add invoices or receipts to a claim, click Add document at the bottom of the side panel and select the type of document you wish to add.
If documents have already been added to the claim, a complete record of who has indicated the document has been reviewed will be displayed. Each added file will indicate whether it has been reviewed, and the information will be saved in the database.
...
Insurance Info Tab
To update or add information about a member's insurance, click the Insurance Info tab and make the desired changes using the blue pencil.
...
Processing a Claim
Worksheet (Hockey Canada Only)
The worksheet is printed according to the requested paper file. You can print the worksheet from the side panel using the blue Action button – print by selecting Print worksheet. To print a batch of worksheets, select
...
Select the Worksheet button that is located above the claims list of claims on the main page . to print a batch of worksheets.
...
By selecting the option Created by Me: You will be able to , you can print all worksheets for claims you have created that have not been printed.
| Info |
|---|
Once you print worksheets in batch form, you can not print them again in bulk using this option. |
By selecting the option Number Range: You , you can enter the accident ID injury number range you wish to print.
Once you've made your selection, click on Print.
...
Create a Cheque
...
(Hockey Canada Only)
To Create a Cheque: Click create a cheque, click on the member’s member's claim to open the side panel.
From here, there are 2 two ways to create a cheque. 1.
Click the blue
...
Action button and select
...
Create Cheque
...
A Create Cheque button is at the bottom of the Accident
...
tab
...
.
...
First, enter the amount and what the service was is for.
Next, select who the cheque will be issued to.
Claimant - : It will show you the member's address of the member on their profile. If You can add an address to the member's profile if the correct address is not there, you can go to the member’s profile and add an address, .
(Note: Please do not make this the primary address)
Guardian - It : The system will ask you to choose select the guardian contact from the list in the contact section on of the member’s member's profile. If it is not there, select not listed Not Listed, and you can enter First Name, Last Name, Contact Type and the Address. (Note: this address will be added to the member’s profile)Other - it the first name, last name and contact type. You can add an address to the member's profile if the correct address is missing.
Other: The system will ask you to select a payee, you . You can select choose from the list or click Create Payee
A comment can be added if required.
...
Print a Cheque: Hockey Canada Only
...
Create Payee and enter the required information.
If required, you can add a comment in the Memo section.
...
Print a cheque (Hockey Canada only)
Select the Cheques button on the main page above the list of claims.claims list to print a cheque.
...
From In the Print settings parameters window, enter the starting start number listed indicated on the cheque you are printing to on, and select the cheque print date for the cheque.
Note: this will print all the cheques that have been created.
...
...
The cheque number, printing date, and identity of the
...
person who printed the cheque will
...
be added to the information
...
on the side panel.
...
If a cheque needs to be reprinted or
...
void,
...
this can
...
be done by clicking on the
...
three dots in the
...
cheque section of the
...
side panel and selecting
...
the desired option.
...