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IMECore

Assessment services

Catastrophic Impairment Assessment

A multidisciplinary assessment that tests whether an injured person meets the catastrophic impairment criteria in Ontario's Statutory Accident Benefits Schedule (SABS). Insurers and plaintiff counsel order one when the injuries may meet the threshold, usually through an Application for Determination of Catastrophic Impairment (the OCF-19 form).

The problem

The file is thick and the criteria are nowhere in it

The referral asks whether the person meets the SABS catastrophic definition. The brief arrives as a hospital record set plus rehab notes with no criteria pulled forward. Each specialty examines in isolation, and the reports discuss disability in general instead of the test that decides benefits.

  • Acute-care findings are buried and never listed against the criteria.
  • Physiatry, neurology, psychology, and psychiatry opinions are never sequenced.
  • The reports describe impairment and never apply the SABS test.

What changes

What IMECore does about it

  • The SABS criteria set the questions

    Intake captures which catastrophic criteria the referrer wants tested. Those tests stay visible on the case through every specialty and the final review.

  • Specialties sequenced, not stacked

    Each examiner sees what the earlier ones found before attending. The reports reference each other instead of repeating the history four times.

  • Acute-care records pulled forward

    Hospital notes, imaging, and early assessments arrive sorted with source and date, so the examiners test the criteria instead of hunting for them.

FAQ

Questions people ask

What is a catastrophic impairment assessment?

An assessment, often across several specialties, that tests whether an injured person meets the catastrophic impairment definition in Ontario's Statutory Accident Benefits Schedule. Meeting it changes which benefits are available and at what limits.

What is the OCF-19?

The Application for Determination of Catastrophic Impairment: the form that starts the process. It names the criteria the applicant relies on, and the assessment tests those criteria one by one.

Who sits on the assessment team?

It depends on the injuries: commonly physiatry or orthopaedics for the physical picture, neuropsychology for cognition, and psychiatry or psychology for behaviour and mood. IMECore sequences them so later examiners read the earlier reports first.

What should an examinee expect?

More than one appointment, each like a focused IME in its specialty: history, examination or testing, and record review. No treatment is given at any of them.

Refer a case, get back a signed report

Send the referral and the questions. A coordinator confirms the file and what it still needs, then IMECore coordinates the examination and delivers a signed report.