sec.21Verification and payment of expenses— Act , ss 42 and 51

sec.21 Verification and payment of expenses— Act , ss 42 and 51

If a claimant asks an insurer for payment or reimbursement of private hospital, medical and pharmaceutical expenses under section 42 of the Act , or rehabilitation expenses under section 51 of the Act , the request must— be for a total amount of at least $200; and be accompanied by receipts, unpaid accounts or other appropriate evidence of the expenses. However, if the claimant expects to make no further request for payment or reimbursement of expenses, the request may be for the outstanding total of the expenses even though the amount is less than $200. If the insurer reasonably requires, the claimant must give the insurer a certificate from the doctor responsible for treating the personal injury relevant to the expenses certifying that the expenses were reasonably incurred having regard to the nature and extent of the injury. (sec.21-ssec.1) If a claimant asks an insurer for payment or reimbursement of private hospital, medical and pharmaceutical expenses under section 42 of the Act , or rehabilitation expenses under section 51 of the Act , the request must— be for a total amount of at least $200; and be accompanied by receipts, unpaid accounts or other appropriate evidence of the expenses. (sec.21-ssec.2) However, if the claimant expects to make no further request for payment or reimbursement of expenses, the request may be for the outstanding total of the expenses even though the amount is less than $200. (sec.21-ssec.3) If the insurer reasonably requires, the claimant must give the insurer a certificate from the doctor responsible for treating the personal injury relevant to the expenses certifying that the expenses were reasonably incurred having regard to the nature and extent of the injury.

• (a) be for a total amount of at least $200; and
• (b) be accompanied by receipts, unpaid accounts or other appropriate evidence of the expenses.