HCAI - Patient Management Program
Many of the OCF21 parts will populate with information from patient information, Accident ID, and
information input in previous forms (if applicable). This makes completion of the OCF21 simple.
Part 1
Applicant Information
These fields will be populated from the Patient Information and Accident ID. Fields can be edited but
changes to these fields will be reflected to fields where the information was pulled from. Fields where
information will be updated are indicated by an underline.
Part 2
Insurance Company Information
.
Insurance Company Information is populated from previous forms or can be selected from the drop
down lists.
If you are submitting OCF forms through the PMP HCAI interface the insurer list will be updated
every time you connect to HCAI.
Part 3
Invoice Information
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