O.C. 271/2004

A.R. 122/2004

June 21, 2004

APPENDIX

Insurance Act

DIAGNOSTIC AND TREATMENT PROTOCOLS REGULATION

Table of Contents

Definitions

Part 1
Application and Operation

Authorization for additional services or supplies

Interpretative bulletins and information circulars

Prescribed fees

Part 2
Diagnosis and Treatment Protocols

Division 1
Diagnosis and Treatment
Protocol for Strains

Developing the diagnosis

Treatment protocols

Diagnostic and treatment authorization

Division 2
Diagnosis and Treatment
Protocol for Sprains

Developing the diagnosis

Treatment protocols

Diagnostic and treatment authorization

Division 3
Diagnostic and Treatment Protocol
for WAD Injuries

Developing the diagnosis

Diagnostic Criteria and Treatment
of WAD I Injuries

Treatment protocols: WAD I injuries

Diagnostic and treatment authorization

Diagnostic Criteria and Treatment
of WAD II Injuries

Treatment protocols: WAD II injuries

Diagnostic and treatment authorization

Division 4
Treatment Limits and Referrals

Assessment of non-protocol injuries

Referral to injury management consultant

Injuries unresolved after 90 days

Part 3
Injury Management
Consultants Register

Eligibility requirements

Ceasing to be an injury management consultant

Transitional

Part 4
Claims and Payment of Claims

Priority of this Part

Claims

Decision by insurer

Failure of insurer to respond

Subsequent denial of liability

Making and paying claims

Sending notices

Multiple claims

Part 5
Review and Coming into Force

Coming into Force