What is Service Provider Licensing?
The Ontario Government determined that a licensing and regulation regime for the business practices of health clinics (service providers) treating auto insurance claimants is appropriate and necessary. Service Provider Licensing (SPL) is implemented and overseen by the Financial Services Regulatory Authority of Ontario (FSRA) *.
- Learn more at FSRA’s Health Care Service Providers page.
- View FSRA’s News page
- Explore FSRA’s Public Registry of Licensed Service Providers
How does Service Provider Licensing relate to HCAI?
The process for submitting and adjudicating invoices changed on June 1, 2015. As per FSRA’s HCAI Guideline, to receive direct payment for submitted invoices, Facilities must have a valid FSRA Service Provider Licence both at the time the treatment or service is performed and when the invoice is submitted. Without a Service Provider License, the Insurer must pay the claimant.
Service Provider Licensing and HCAI - process flow
(Click to enlarge)
How do I apply for a Service Provider Licence?
Visit FSRA’s Apply for a Service Provider Licence web page to learn about the application process.
To apply for a Service Provider Licence, you require certain information from HCAI, including your HCAI Facility Registry number. Videos and instructional text have been developed to provide every health care facility with valuable information it needs prior to applying.
*Effective June 8, 2019, the Financial Services Regulatory Authority (FSRA) assumed the regulatory functions of the Financial Services Commission of Ontario (FSCO). Visit www.fsrao.ca for updates