Insurance Reps

Dear Insurance Professional,

Stepping up to the plate with financial support and other forms of tangible assistance for persons who have been immobilized, both temporarily and permanently, due to injuries received in a motor vehicle accident or some other type of misfortune, is as you are well versed in, a much needed, essential service.

However, like all responsible insurance institutions, third party verification of medical data, and timely reports supporting the assessment and treatment plans assigned to those in receipt of the support you as an insurer offer your customers, is a necessary component associated with the client qualification process within your industry.

As such, this is an area of expertise where the Physio Clinic @ West Durham has earned a solid reputation throughout the insurance community as a professional and very reliable medical partner.

Along with working seamlessly with insurers, our medical experts are keenly aware that among our patients who have been injured in an accident, there is also the critical need for our entire team of specialists to fully and promptly support insurance companies.

We do this by furnishing industry representatives with swift and timely administrative support in order to substantiate medical data, and facilitate insurance claims.

Therefore, the focus of our mission @ the Physio Clinic West Durham is a two-pronged approach.

A) Provide appropriate treatments that help your clients overcome the physical and mental challenges they may be dealing with.

We do this by providing patients with superb, all inclusive, in-depth care that helps them overcome the physical and mental challenges that may be challenging them.

B) Fully cooperate with, and assist our patient’s insurance representatives.

This is achieved by furnishing insurance representatives with supporting documentation on an ongoing – timely basis.

Our skilled and experienced clinicians can complete these forms for you, absolutely free of charge:

Form 1: Assessment of Attendant Care Needs

OCF 1: Application for Accident Benefits

OCF 3: Disability Certificate

OCF 5: Permission to Disclose Health Information

OCF 6: Expenses Claim Form

OCF 10: Election of Income Replacement Non-Earner or Caregiver Benefits

OCF 18: Treatment and Assessment Plan

OCF 19: Application for Determination of Catastrophic Impairment

OCF 21: Auto Insurance Standard Invoice

OCF 23: Treatment Confirmation Form

OCF 24: Minor Injury Treatment Discharge Report

We also can arrange for your clients to receive a prompt and thorough:

Injury assessment

Customized rehabilitation program

Case management support

At the end of the day, we are a unique facility that, in fulfilling our mandate, is staffed by dedicated specialists who offer and provide your clients, and our patients with the highest level of multi and inter-disciplinary care.

This eliminates the need for your clients to receive multiple interventions and treatments from an assortment of healthcare providers.

Specifically, our medical expertise and treatments fall under the areas of:

• Chiropractic

• Acupuncture

• Massage therapy

• Occupational therapy

• Psychology

• Foot care

• Physiotherapy

Additionally, in keeping with our promise of support to the insurers we work with, we commit to:

1. Getting your client a detailed assessment and into outpatient care within 48 hours. Guaranteed!

2. Providing your client’s referring physician with a progress report within 5 business days that includes relevant clinical findings.

3. Ordering investigations and fast track diagnostic imaging based on report recommendations.

4. Providing a consultation letter, which includes the completing of government and employer forms.

5. Assist your clients with collateral issues that fall outside the realm of physician care. Such as assistive devices, home care, legal services, employer relations, insurance matters and payment of care services outside of OHIP.