What is a service provider?
Service providers receive payment for their services through the Health Claims for Auto Insurance (HCAI) billing system. All service providers must submit requests and billing for goods and services via HCAI, but only FSRA-licensed service providers can receive direct payments from insurers.
What is the maximum rate payable to a service provider by an auto insurer?
Maximum fees and hourly rates are listed on page 5 of the Professional Services Guideline.
What FSRA can do
- Resolve complaints about service provider billing practices.
- Take action if an insurer does not follow the medical assessment and dispute resolution process in the case of denial of treatment under the SABS.
What FSRA can’t do
- Resolve complaints about the type or amount of treatment provided by a service provider.
- Resolve disputes about the correctness of a denial of treatment under the SABS, which is under the jurisdiction of the License Appeal Tribunal (LAT).