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 claim, When you are covered, FAQ, and more.

Click here for ASHL insurance information.

 

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

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 already been started for this participant.

  • If a member does have more than one profile in HCR, they should be merged 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 possible. Try to avoid stock-piling claims before entering them into HCR.

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

  •  

Submitting a Claim

Before starting a new claim, always 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 a new one. To search for the participant, enter their First/Last name or HCR #.

 

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 HCR number.

Birth date is optional but will narrow the search. 

 

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 number, date of birth, primary association, and address, and select the correct member.

 

Open a New Claim

Claim

Reserve (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. 

 

Status (Hockey Canada only): The drop-down menu indicates the claim status.

  • 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 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 from the drop-down list.

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.

 

Insurance Info

Enter the insurance details of the player, team official, match official, or spectator if available.

 

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.

 

 

Team Info

If the member is part of a team, select the team with which the injury occurred. 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 a claim has been submitted, it will appear in the list, showing the season, claim number, type of member insurance claim, injury, reserve, date, and status.

 

 

Update claim

Accident tab

If you click on an insurance claim, the Accident tab on the side panel will allow you to update the information if required.

Use the blue pencil to change the information.

 

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 Action button by selecting Print worksheet.

 

Select the Worksheet button above the claims list on the main page to print a batch of worksheets.

 

By selecting the option Created by Me, you can print all worksheets for claims you have created that have not been printed.

By selecting the option Number Range, you can enter the 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 on the member's claim to open the side panel.

From here, there are two ways to create a cheque.

  1. Click the blue Action button and select Create Cheque

  1. A Create Cheque button is at the bottom of the Accident tab.  

 

First, enter the amount and what the service is for.

Next, select who the cheque will be issued to. 

  • Claimant: It will show you the member's address on their profile. You can add an address to the member's profile if the correct address is not there.

    • (Note: Please do not make this the primary address)

  • Guardian: The system will ask you to select the guardian contact from the list in the contact section of the member's profile. If not, select Not Listed, and you can enter 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 can choose from the list or click 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 claims list to print a cheque.

 

In the Print parameters window, enter the start number indicated on the cheque you are printing on, and select the cheque print date.

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.

 

 

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