Insurance claim medical statement

Assessment pathway

Records and individual assessment

Suitability is determined by the physician. A virtual encounter is not a substitute for a needed examination, access to relevant records or a designated practitioner.

What the physician may need

• Insurer’s exact form
• Relevant records and consent
• Required dates and facts

Do not send records or health information through the public partnership form.

Important limits

• The insurer decides the claim.
• Tax treatment and third-party payment must be reviewed.

Coverage and fees

An individual physician-approved quote, only after coverage and payer review.

Check the provincial plan, any employer or insurer payment, program-specific rules and tax treatment. Assessment and documentation must not be double-billed or bundled to conceal insured care.