Despite any other provision of this Regulation

(1) Despite any other provision of this Regulation, if a benefit that would otherwise be payable by an insurer is payable in respect of an expense for goods or services specified in a Guideline issued for the purposes of this section, an insurer to whom the Guideline applies shall not pay the benefit unless an invoice for the expense, in the form approved by the Superintendent and including all of the information required by the form,

(a) is delivered to the insurer, if neither of paragraph 2 or 3 of subsection 68 (3.2) applies; or

(b) is deemed to be received by the insurer under subsection 68 (3.3) or (3.4), if paragraph 2 or 3 of subsection 68 (3.2) applies. O. Reg. 533/06, s. 12.

(2) An insurer shall not waive the submission of an invoice for goods or services to which subsection (1) applies. O. Reg. 533/06, s. 12.

(3) If a Guideline issued for the purposes of subsection 68 (3.2) specifies that invoices are to be delivered to a central processing agency on behalf of insurers to whom the Guideline applies, every such insurer that receives an invoice that complies with subsection (1) shall report the following to the central processing agency in the manner and within the time required by the Guideline:

1. The date or dates on which the goods or services referred to in the invoice were delivered or rendered.

2. The names, addresses and professional college registration numbers, if applicable, of each provider of goods or services referred to in the invoice.

3. Particulars of the goods or services referred to in the invoice.

4. Particulars of the injury or injuries in respect of which the goods or services were delivered or rendered.

5. The amount, if any, paid in respect of the goods or services referred to in the invoice by any person other than the insurer.

6. The amount paid by the insurer in respect of the invoice.

7. The amount paid by the insurer in respect of each separately described component of the invoice.

8. The date on which a decision was made on payment or other disposition of the invoice.

9. Any other disposition of the invoice.

10. The information referred to in subsection 32 (2.1).

11. Such additional information as may be specified in the Guideline, if the invoice is in respect of expenses described in a notice given by the insurer under subsection 37.3 (1) or 38.1 (1). O. Reg. 533/06, s. 12.