HCAI - Patient Management Program
If the provider is not included on the drop down list under Doctor type the practitioner details
into all remaining fields, leaving the first field blank.
Part 7
Reimbursable Goods and Services
Part 7B is used when billing the auto insurer for all goods and services other than Minor Injury
Guidelines.
For the New OCF 21 form select goods and services by clicking Add to choose CCI and GAP codes
from the CCI Code Selector as detailed on page 29 and then using the Duplicate this Line Item
button.
For the OCF 21 from 18 form select goods and services by choosing Apply Codes from Plan.
Add and Duplicate this Line Item
Click Add to select an item from the CCI Code Selector. Edit the date, fee, and practitioner. If this item
was rendered more than once during the invoice period click Duplicate this Line Item.
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