Glossary

Automobile Accident Benefits Service (AABS) - Helps people who are hurt by a motor vehicle accident, and have had their claim for accident benefits denied by an insurance company.

The Administration Setup is the 'Control Panel' of Universal Office. This where you configure system-wide settings. To open Administration Setup, click Start > All Programs > Universal Office CPR > Administration Setup.

Auto Insurance Standard Invoice

Application Programming Interface

A provider working for an Organization.

Canadian Classification of Health Interventions (https://www.cihi.ca/en/data-and-standards/standards/classification-and-coding/canadian-classification-of-health) The partial pick list of health-related services & intervention codes (CCI), knows as Appendix B can be found on HCAI.

Canadian Institute for Health Information (www.cihi.ca)

If you are covered for health and dental benefits under this and another plan, your benefits will be co-ordinated with the other plan following standard industry guidelines developed by CLHIA (Canadian Life & Health Insurance Association - www.clhia.ca) such that the total amount payable does(...)

See Co-ordination of Benefits

Central Processing Agency – an agency designated to receive accident benefit claims forms on behalf of insurers For more information, see the HCAI May 2015 Guideline document provided on the Enrollment page on hcaiinfo.ca.

Also known as the Insurance Company Claim ID is the adjudicator's internal claim identifier assigned to each claim when insurer adjudicates or responds to adjudicated claims and predetermination requests.

Electronic Data Transfer service is a vehicle for the electronic transmission of files to and from an authorized EDT user’s mailbox to the ministry’s mainframe computer via the Government of Ontario Network (GONet). EDT is a secure method of sending and receiving information; only authorized(...)

Extended Health Care

Extended Health Care Benefits

Extended Health Insurance Plan

Electronic Health Records

An email service provider (ESP) is a company or an organization that provides an internal mechanism to send, route, accept, and manage the receipt of email messages.

Electronic Medical Records

Explanation of Benefits

Functional Ability Evaluation

Functional Abilities Form (2647A). This WSIB form is used when requested by an employer or worker.

Assessment of Attendant Care Needs

Health Professional's Report (0008A). This form is intended to be used for patients who are claiming benefits under WSIB for an injury/illness related to work.

Health Professional'sProgress Report (0896A). Since this form was implemented on TELUS, it can be submitted exclusively on TELUS eClaims portal.

Financial Services Commission of Ontario (www.fsco.gov.on.ca) – regulates insurance, pension plans, loan and trust companies, credit unions, caisses populaires, mortgage brokering, and co-operative corporations in Ontario.

Goods, Administration, and Other (GAP) codes were developed by Insurance Bureau of Canada in conjunction with automobile insurers and health care providers to cover those items billed to automobile insurers by providers that are not covered by the Canadian Classification of Health(...)

Health Claims for Auto Insurance (hcaiinfo.ca)

Health Care Facility

In-province medical claims detailed in the Schedule of Benefits, including services that require additional information or prior authorization (referred to as Health Claim Payment (HCP) Claims)

Health Card Validation – Service provided by MOHLTC that checks the status and validity of a health card version, presented to determine an individual’s eligibility for health care coverage.

Insurance Bureau of Canada (www.ibc.ca)

International Statistical Classification of Diseases and Related Health Problems

The Ninth Revision of the International Classification of Diseases was approved by the 29th World Health Assembly in May 1976 to come into effect January 1, 1979. ICD-9 was adopted in Canada in 1979. ICD-9 is divided into two volumes: the Tabular List and the Alphabetic Index.For more info(...)

ICD-10-CA is an enhanced version of ICD-10 developed by CIHI for morbidity classification in Canada.

The Licence Appeal Tribunal (LAT) - An adjudicative tribunal that is part of Safety, Licensing Appeals and Standards Tribunals Ontario (SLASTO).

Merge tags correspond to field data in Universal Office, and can be used to insert personalized or dynamic content into your broadcasts and notifications. Whenever a new field is added to a list, we'll create a corresponding merge tag. Each time you send a campaign that uses merge tags, we'll(...)

Minor Injury Guideline

Ministry of Health and Long-Term Care

Motor Vehicle Accident

Ontario Claim Form

Disability Certificate

Permission to Disclose Health Information

Expenses Claim Form

Treatment and Assessment Plan

Standard invoice used to bill Automobile Insurance Companies in Ontario

Treatment Confirmation Form

Minor Injury Treatment Discharge Report

Ontario Health Insurance Plan

An abbreviation that stands for Organization Identification Number.

See Provider Number.

Pre-Approved Framework

An abbreviation that stands for Provider Identification Number.

Practice Management System

Program of Care

These reports are generated and delivered to registered primary care physicians and groups within the first week of the month. The reports generated consist of enrolment/consent and are in eXtensible Markup Language (XML) format.These reports include:Consent/Enrolment Reports Enrolment Report(...)

The individual, service organization, or vendor who provides health care services to the client.

See Provider Number.

This unique number is assigned by the TELUS Provider Registry per facility (Organization, Healthcare practice with multiple providers) and an Individual practitioner or healthcare professional. This number is also known as the Provider Identification Number.

A remittance advice is a monthly statement of approved claims and is issued at the time of payment. The remittance advice file contains accounting details of claims approved during the ministry’s previous claims processing cycle. It will also contain explanatory codes to clarify payment exceptions.

The Reports Manager allows to extract statistical and financial reports from the data stored in Universal Office. To open Reports Manager, click Start All Programs Universal Office CPR Reports Manager Plus. Alternatively, click Reports Manager on the main toolbar when Universal(...)

The required fields are highlighted in pink throughout Universal Office.

Reciprocal Medical Billing (RMB) claims

Statutory Accident Benefits Schedule For additional information, see O. Reg. 34/10: STATUTORY ACCIDENT BENEFITS SCHEDULE - EFFECTIVE SEPTEMBER 1, 2010

A unique identifier for a healthcare service location assigned by the TELUS Provider Registry. You can find this number in any claim response such as Explanation of Benefits.

Short Message Service or SMS is a text messaging service component of most telephone, World Wide Web, and mobile device systems. It uses standardized communication protocols to enable mobile devices to exchange short text messages.

The Safety, Licensing Appeals and Standards Tribunals Ontario (SLASTO) - A cluster of adjudicative tribunals comprised of the following five tribunals: Animal Care Review Board, Fire Safety Commission, Licence Appeal Tribunal, Ontario Civilian Police Commission, and Ontario Parole Board.

Simple Mail Transfer Protocol (SMTP) is an Internet standard for electronic mail (email) transmission. For more information, see Simple Mail Transfer Protocol Wikipedia article.

See TELUS Provider Registry.

An abbreviation that stands for TELUS Central Provider Registry.

In order to start processing claims, providers must register with the eClaims Service. This service is also known as the TELUS Central Provider Registry or TELUS CPR. To register, visit https://www.telushealth.co/eclaims/.

See Universal Office Backup Utility.

The Universal Office Backup and Restore Utility or simply Universal Backup allows to backup data stored in Universal Office. This backup includes both the data stored in the database as well as attached electronic files. To open Universal Backup, click Start All Programs Universal Office(...)

Workers’ Compensation Board (aka WSIB)

An abbreviation that stands for Work Location Number.

See Service Location ID.

Workplace Safety & Insurance Board (www.wsib.on.ca)