Insurance

Insurance information:

For more information on the insurance process, click on the links below.

Click here for the Hockey Canada insurance process.

Click here for the Hockey Canada insurance program information, including How to make a claim, When you are covered, FAQ, and more.

Click here for ASHL insurance information.

See the below chart for the status changes:

Best Practices:

• Before opening a new claim, confirm that one 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 can. Try to avoid stock-piling claims before entering them into HCR.

• To keep attachment size low, scan to PDF instead of to a picture format. You can also scan to a lower resolution to keep the file size down. 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:

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.

If more than one result is found, review the information - name, HCR#, 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. If you do not know the amount, you can leave it at $0 with the status as pending. 

Accident: General information – You will be asked to provide basic information for the accident. If the information is not available when you are starting the claim, you can select ‘No info’ from the specific dropdown 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.

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.

Insurance Info: Enter the insurance information of the player if the information is available.

Team Info: If the member is rostered on a team, select the team that the injury occurred with. If it is not listed select ‘Non Listed Team’, and manually enter the team name and division. 

Team Official: Enter the team official listed on the insurance claim form.

Once the claim has been submitted, it will appear in the list, it will show you the season, the claim #, member insurance claim type, injury, reserve, date and status. If you click on the insurance claim, the side panel will open, and you can update 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

Print a Worksheet: The worksheet is printed for the hard copy file for the claim. You can print the worksheet from the side panel using the blue Action button – print worksheet. 

To print a batch of worksheets, select the Worksheet button that is located above the list of claims on the main page. 

By selecting the option Created by Me: You will be able to print all worksheets for claims you have created that have not been printed.

By selecting the option Number Range: You can enter the accident ID number range you wish to print.

Create a Cheque: Hockey Canada Only

To Create a Cheque: Click on the member’s claim to open the side panel. From here, there are 2 ways to create a cheque. 1. Click the blue ‘Action’ button and select ‘Create Cheque’ 2. At the bottom of the Accident information tab there is a ‘Create Cheque’ button.  

First enter the amount and what the service was for. Next, select who the cheque will be issued to. 

• Claimant - It will show you the address of the member on their 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 will ask you to choose from the list in the contact section on the member’s profile. If it is not there, select 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 will ask you to select a payee, you can select from the list or click Create  Payee

A comment can be added if required.  

Print a Cheque: Hockey Canada Only

To Print a cheque: Select the cheques button located on the main page above the list of claims. 

From the Print settings window, enter the starting number listed on the cheque you are printing to and select the print date for the cheque. Note: this will print all cheques that have been created.