O. Reg. 22/02: SUBMISSION OF ACCOUNTS

 

Health Insurance Act
Loi sur l’assurance-santé

ONTARIO REGULATION 22/02

No Amendments

submission of accounts

Historical version for the period January 25, 2002 to February 29, 2004.

Disclaimer: This consolidation is not an official copy of the law because it is affected by one or more retroactive provisions which have not been incorporated into it. For information about the retroactive provisions, see O. Reg. 22/02, section 5 and O. Reg. 46/04, section 2.

This Regulation is made in English only.

Definition

1. In this Regulation, 

“in-patient” means a person admitted to and assigned a bed in a hospital in-patient area.  O. Reg. 22/02, s. 1.

Time limits for submitting accounts

2. A physician, practitioner, health facility or, in the case of a patient who is billed directly, the patient shall submit an account for an insured service to the General Manager no later than the following:

1. For insured services rendered in Ontario, no later than six months after the service is rendered.

2. For insured services rendered outside Ontario,

i. no later than 12 months after the date of the patient’s discharge for services rendered to in-patients, and

ii. in all other cases, no later than 12 months after the service is rendered.  O. Reg. 22/02, s. 2.

Exception

3. Paragraph 2 of section 2 does not apply to services rendered outside Ontario that are approved by the General Manager for payment before the service is rendered.  O. Reg. 22/02, s. 3.

Transition

4. This Regulation applies to accounts submitted in respect of insured services rendered on or after January 1, 2002.  O. Reg. 22/02, s. 4.

5. Omitted (provides for coming into force of provisions of this Regulation).  O. Reg. 22/02, s. 5.