Virtual Claims File - MPI Partnersmpipartners.ca/documents/Notices to trade/Misc... · possibly...

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1 Virtual Claims File Manitoba Public Insurance is pleased to announce that we are simplifying the submission of repair documents by moving to a paperless claims file. These changes will take effect May 1 st , 2013 and will provide more value to our business partners and customers by enabling faster response times on estimating supplements and faster processing of payments for Final Repair Accounts. In addition, this change will reduce the time and cost of moving documentation between shops and MPI. Shops will not require any additional equipment and will save administration time as we eliminate the need to physically send documentation to MPI. Electronic submission of documentation eliminates the time paperwork spends in transit, eliminates the concern of sending paperwork to an incorrect MPI location and allows MPI to process the documentation more efficiently. By following the procedures outlined in this package, you will ensure claims are processed quicker, allowing MPI to get payments to you sooner. If documentation is not properly submitted, you will be asked to resubmit the necessary documentation, possibly delaying the processing of the claim. Detailed instructions on how to submit Amendments and Final Repair Accounts are included in this package, and are available on the Partners website. Examples of the new documents required are included in this package. We are excited to introduce this new process which will set the foundation for future electronic communications between MPI and the repair trade. If you have any questions about the new process, please contact our Estimating Coordinators: Jim Backstrom at (204) 985-7397 [email protected] or Kel Neufeld at (204) 985-7829 [email protected] . Sincerely, Najam us Sahar Executive Director, Service Centre Operations Manitoba Public Insurance Corporation

Transcript of Virtual Claims File - MPI Partnersmpipartners.ca/documents/Notices to trade/Misc... · possibly...

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Virtual Claims File

Manitoba Public Insurance is pleased to announce that we are simplifying the submission of repair documents by moving to a paperless claims file. These changes will take effect May 1st, 2013 and will provide more value to our business partners and customers by enabling faster response times on estimating supplements and faster processing of payments for Final Repair Accounts. In addition, this change will reduce the time and cost of moving documentation between shops and MPI.

Shops will not require any additional equipment and will save administration time as we eliminate the need to physically send documentation to MPI. Electronic submission of documentation eliminates the time paperwork spends in transit, eliminates the concern of sending paperwork to an incorrect MPI location and allows MPI to process the documentation more efficiently.

By following the procedures outlined in this package, you will ensure claims are processed quicker, allowing MPI to get payments to you sooner. If documentation is not properly submitted, you will be asked to resubmit the necessary documentation, possibly delaying the processing of the claim.

Detailed instructions on how to submit Amendments and Final Repair Accounts are included in this package, and are available on the Partners website. Examples of the new documents required are included in this package.

We are excited to introduce this new process which will set the foundation for future electronic communications between MPI and the repair trade. If you have any questions about the new process, please contact our Estimating Coordinators: Jim Backstrom at (204) 985-7397 [email protected] or Kel Neufeld at (204) 985-7829 [email protected].

Sincerely,

Najam us Sahar Executive Director, Service Centre Operations Manitoba Public Insurance Corporation

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Important Process Changes for the submission of Light Passenger vehicle amendments and final repair accounts:

Process Changes: The following process changes apply to the submission of all amendments and final repair accounts for Light Passenger Vehicles:

1. Customers will bring a Fax Cover Sheet along with the Estimate Sheets to therepair shop. The Fax Cover Sheet will include the physical damage claim numbershown in both text and in barcode form.

2. All barcoded Estimating documents must be submitted to MPI’s new fax lineat (204) 985-7281 or Toll Free 1 (877) 545-7063. The Fax Cover Sheet must alwaysbe used as the first page when faxing any documents to this fax number.

3. When submitting an Amendment to an Estimate, you must e-mail all applicablephotos to [email protected] with the claim number in the subject line.

4. When submitting a Final Repair Account, the required invoices must be

submitted via fax showing the part, the part number and the part’s list price.

5. When submitting a Final Repair Account, the new Final Repair Account Signature

Sheet must be submitted. This form replaces having the customer sign the back of the carbon paper Estimate Sheets. The form can be downloaded from the MPI Partners website at: http://mpipartners.ca/LightVehicles/Forms/index.html

6. You will no longer need to physically send MPI your invoices, but they must beretained for records in compliance with Canada Revenue Agency’s policy of 6years.

7. Please provide MPI with an e-mail address.

a. Please call MPI Quality Control at (204) 985-7376 or [email protected] to provide or update your shop’s email address.

b. It is critical that you notify MPI of any future changes to your shop’s e-mail address. Please follow the process listed above to do so.

Exceptions: These process changes do not apply for: Commercial vehicles: The process for these types of vehicles will not change. The current processes remain in place. Please continue to submit amendments and final repair accounts to the Service Centre the original estimate was completed at.

Glass only claims: The process for glass only claims will not change. The current processes for glass only claims remain in place. Glass only claims can be submitted directly to the Glass Audit department.

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Initial Customer Contact 1. When a customer arrives at your shop, they will bring:

a. The Estimate Sheets

b. A Fax Cover Sheet with the claim number and barcodes

i. Each fax cover sheet will have a unique barcode that corresponds toa specific claim.

ii. Using the barcode, MPI’s system will automatically route thedocuments to the appropriate MPI claim file and staff.

iii. Please retain this fax cover sheet and reuse it for all submissions toMPI related to that claim.

2. Changes to customer authorization to begin repairs include:

a. The customer will no longer need to sign the back of the Estimate Sheets.

b. Print the Final Repair Account Signature Sheet from the MPI Partners website http://mpipartners.ca/LightVehicles/Forms/index.html

i. English and French versions are available.

c. Have the customer sign the Authorization to Repair section of the formbefore beginning repairs on the vehicle. This form will be submitted toMPI as part of the Final Repair Account package.

To request a new Fax Cover Sheet

1. If you require a new copy of a Fax Cover Sheet for a claim, please [email protected]

a. Please use “Fax Cover Sheet Request” with the claim number as thesubject of this email.

b. You will be emailed a new copy of the Fax Cover Sheet with the barcodethat corresponds to the specific claim.

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Requesting an Amendment to an Estimate 1. Any time that the original estimate changes, or additional parts or labour are

required, please complete the Estimate Amendment Form on the MPI Partners website http://mpipartners.ca/LightVehicles/Forms/index.html

a. You can type directly into this form before printing.

b. Typed forms will allow MPI to process amendments more efficiently thanhandwritten forms.

2. Fax forms

a. Fax the Cover Sheet and completed Estimate Amendment Form to (204)985-7281 or Toll Free 1 (877) 545-7063

b. The documents should be placed on the fax machine in the followingorder:

i. Fax Cover Sheet

ii. Estimate Amendment Form

iii. Any other supporting documentation required

c. If your fax machine shows a Fax Successful message, your fax has beenreceived by MPI

3. E-mail photos

a. Please take photos of the damage to support your request for anamendment. Your photos should show the entire vehicle, including thelicense plate. Photos should show close up images of the damaged area inquestion and the additional parts that are being requested.

b. Please rename photos with the claim number and photo number

i. E.g. 555555555_1.jpg, 555555555_2.jpg, etc.

c. Please note that due to process changes, the Estimator reviewing theamendment request may not be the same Estimator who performed theoriginal estimate. By submitting well lit and detailed photographs, MPIwill be better able to respond to your request in a timely manner

d. Send all photos to [email protected] with “Amendment Request”and the claim number in the subject line.

4. You may be asked to provide more information about the amendment by anEstimator. If this happens, please provide the additional information required,including additional photos if requested, and resubmit the amendment via faxusing the process described above. If an MPI Estimator needs to see the vehiclebefore authorizing amendments, you will be notified.

5. You will receive confirmation of amendments via fax.

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Requesting Alternate or Aftermarket Cancellation Number 1. There are no changes to this process. If Aftermarket parts are not available and

an OEM part is required:

a. Complete the Alternate/Aftermarket Cancellation Fax Sheet on the MPI Partners website http://mpipartners.ca/LightVehicles/Forms/index.html

b. Fax the form to the MPI Parts Coordinators at (204) 985-8652.

c. The Fax Cover Sheet is not required for documents sent to this faxnumber.

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Submitting a Final Repair Account 1. Ensure that the customer signs and dates the Final Repair Account Signature

Sheet certifying that repairs are complete.

a. Complete the rest of the form as necessary.

2. Fax the Final Repair Account Package to (204) 985-7281 or Toll Free 1 (877) 545-7063.

3. Ensure that the Final Repair Account Package contains the following, in thisorder:

i. The Fax Cover Sheet for that claim.

ii. The Final Repair Account Signature Sheet.

iii. Required Invoices (as described below) for parts used in the repairshowing the part name, the part number, and the list price of the part.

iv. Please include any other supporting documentation.

v. Do not fax the carbon paper Estimate sheets.

vi. Do not submit rental car or towing bills as part of the Final RepairAccount. These bills need to be submitted to the adjuster on the claimseparately and will not be processed if submitted with the Final repairAccount.

4. If your fax machine shows a Fax Successful message, your fax has been receivedby MPI.

5. Following these instructions will ensure that your payment is processed quickly.If any of the above items are not submitted, you will be asked to submit therequired documentation and the claim will be treated as a new submission.

6. Body shops must keep the original copies of the Estimate Sheets, Amendments,Final Repair Account Signature Sheets and all invoices in compliance withCanada Revenue Agency’s policy of 6 years.

Required Invoices Not Required Invoices Bumper OEM

Sublet Invoices LKQ (used parts)

Dollar Items Aftermarket Parts with MAPP invoice

Tires

Aftermarket Parts without MAPP invoice

Invoices specifically requested by the Estimator

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The required invoices listed above must be submitted for MPI to process your Final Repair Account. You do not have to submit the invoices that are listed as “Not Required”. If you are unsure which category an invoice falls under, it would be prudent to submit the invoice to avoid any possible delay in processing.

Possible reasons why a Final Repair Account could be returned:

Missing required invoices

Final Repair Account Signature Sheet is not signed

Hand written forms are illegible

Please note that if a submission is returned, there can be delays in processing the account.

Returned Final Repair Accounts

You will receive a letter by email detailing the reason the Final Repair Accountwas returned

o If we do not have an email for you on file, the letter will be faxed to you atthe end of the day

Please resubmit the entire Final Repair Account with the required informationfor us to complete the processing

When your file is resubmitted, it will re-enter the payment processing work listas a new Final Repair Account, without special priority, regardless of the firstsubmission date

Requesting information about a submitted Final Repair Account

If payment has not been made, and there has been no communication from the payment processing unit within 30 days from the last submission date, a repair shop my contact the supervisors of the payment processing unit at either 204-987-2509 or 204-987-2700 with the claim number relating to the payment in question or email [email protected] with “FRA Payment Info” and the claim number in the subject line. The supervisor will investigate the reason the payment has not been made, or why communications have not taken place, and provide this reason to the repair shop along with an expected date the payment will be processed.

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Final Estimate Shop Copy 1. Effective May 1st, 2013 body shops will be e-mailed a copy of the final estimate if

the difference between the submission and MPI’s final payment is greater than$10.

a. If no e-mail address is provided or the e-mail address provided is nolonger active, shop copies of the final estimate will be sent via fax or mailonce a week.

Short Payment Appeal 1. To request a Short Payment Appeal on your payment:

a. Complete the Body Shop Short Payment Request form on the MPI Partners website http://mpipartners.ca/LightVehicles/Forms/index.html

b. Fax the Cover Sheet and the short payment form and any supportingdocumentation to (204) 985-7281 or Toll Free 1 (877) 545-7063

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Physical Damage Claim File Fax Coversheet

Claim File Number:

*1234567890*1234567890

Fax one document at a time following these

instructions:

Place this fax cover sheet on top of each

document that is being faxed to MPI at the

following Physical Damage Claim Fax Number:

204-985-7281 or 1-877-547-7063

Note: Documents which are faxed to the Physical Damage Claim Fax Number without the Physical

Damage Claim Fax Cover Sheet may take longer to process as they will have to be processed

manually.

Fax Cover SheetPage 1 of Document 1Page 2 of Document 1

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*FRASS*

THE FOLLOWING INFORMATION IS PROVIDED TO ASSIST YOU IN BETTER UNDERSTANDING YOUR ESTIMATE SHEET

DEDUCTIBLE The deductible is the portion of the repair costs to your vehicle for which you are responsible. Once the repairs have been satisfactorily completed, the applicable deductible noted on the middle left side of the estimate sheet (page one) must be paid to the Repair facility.

DEPRECIATION/BETTERMENT The purpose of your automobile insurance is to place you back into the same or similar position you were in prior to an accident. If worn parts on your vehicle are replaced with new parts, you may have to pay a portion of the cost involved. For example, if a tire with 50% tread wear is replaced with a new tire, you would have to contribute 50% of the replacement cost. The same principle applies to all parts that had been previously damaged, rusted, worn, or deteriorated. When the betterment total is less than $50.00 inc. taxes the customer is not responsible to pay. When the betterment total is $50.00 or greater inc. taxes the customer is responsible for the full betterment amount.

REPAIR ALLOWANCE If a previously damaged or rusted part sustains further claimable damage, the repair estimate may show a labour allowance towards repairing that item. The allowance represents how much will be contributed by Manitoba Public Insurance towards repairing the claimable damage. Any additional costs relating to the previous damage can be discussed with the repair facility and become the vehicle owners responsibility.

EXCLUSIONS There is no insurance coverage for parts that malfunction as a result of mechanical failure or breakdown, rust, corrosion, wear and tear, freezing or explosion within the combustion chamber, to vehicle contents, etc. (For further details on these and other exclusions, ask your adjuster.)

QUALITY CONTROL Random inspections of repaired vehicles are arranged to ensure that all repairs are properly completed in accordance with our estimate. If you have any questions or concerns regarding repairs, please contact your adjuster.

RECYCLED/ALTERNATE/AFTERMARKET PARTS Manitoba Public Insurance’s commitment is to place you back into the same position you were in prior to the loss. Installing recycled parts or Alternate/Aftermarket parts in conjunction with Manitoba Public Insurance’s parts policies and business rules achieves this objective. Where recycled parts are installed depreciation may not apply. In cases where recycled parts are not available, and new factory parts are installed, you would, where applicable, have to incur the cost of depreciation, based upon the betterment received. When a factory recycled/alternate/aftermarket part is installed, warranty protection will be equal to that provided by the original manufacturer. Manitoba Public Insurance is committed to providing the lowest premiums possible to all Manitobans. By installing

recycled/alternate/aftermarket parts, premiums can be kept to a minimum. People today are recognizing the importance of our environment. Manitoba Public Insurance is cognizant of environmental concerns and believes in playing an important role by using recycled parts. Since recycled/alternate/aftermarket parts are purchased at a lower price, the cost of repairs will be minimized. This will assist in allowing Manitoba Public Insurance to repair more vehicles rather than having to total loss them. This may apply to your vehicle.

TEAR DOWN OF MECHANICAL COMPONENTS Tear down of mechanical components such as engines, transmissions and differentials can only be authorized by the vehicle owner. Costs associated with tear down are the initial responsibility of the insured. If damages are loss related, all expenses, less depreciation, are paid by Manitoba Public Insurance.

It is hoped that this information has assisted you, however, should you require further details, please feel free to ask your adjuster.

AUTHORIZATION TO REPAIR

I, ___________________________________________________________________________________ the registered owner of the vehicle described on the estimate hereby authorize repairs to proceed as outlined.

CERTIFICATION OF REPAIR This vehicle was damaged accidentally on or about the _____________day of ______________________, ______ and the vehicle appears to have been repaired satisfactorily. I hereby authorize Manitoba Public Insurance to pay on my behalf to the repair agency indicated in the declaration below, the amount shown on this account or such amounts are authorized and payable toward this account under the Manitoba Public Insurance Corporation Act and Regulations.

DATE_______________________________ INSURED SIGNATURE_______________________________________________________________

I, (NAME) _____________________________________________________________ (POSITION) ____________________________________________

(FIRM)________________________________________________________________________________________________________________________

(ADDRESS)____________________________________________________________________________________________________________________ hereby certify that all parts have been supplied and services rendered as outlined on this estimate.

SIGNATURE: ________________________________________________________________________________ DATE: ___________________________

Shop Reference Number: ___|___|___|___|___|___|___

Manitoba Public Insurance Registered Account Number: ___|___|___|___|___|___|___

G.S.T. Number ___|___|___|___|___|___|___|___|___|___

Recycled Parts Trans. No. ___|___|___|___|___|___|___

Alternate

After Market Part No ___|___|___|___|___|___|___ ___|___|___|___|___|___|___ ___|___|___|___|___|___|___

PLEASE TAKE NOTE OF THE FOLLOWING:

RECYCLED PARTS WILL BE SUBSTITUTED ON THIS ESTIMATE WHERE AVAILABLE. REPAIR FIRM MUST CONTACT THE RECYCLED PARTS PROGRAM OFFICE AT 204-985-0996 OR 1-800-665-7264 TO DETERMINE AVAILABILITY OF PARTS.

COMPUTERIZED ESTIMATES ARE BASED ON ACCREDITED RATE. NON-ACCREDITED SHOPS WILL HAVE LABOUR RATE ADJUSTED.

ONLY APPROVED ADDITIONS WILL BE PAID. MANITOBA PUBLIC INSURANCE IS RESTRICTED TO MSL ON NEW PARTS.

ALTERNATE/AFTERMARKET PARTS WILL BE SUBSTITUTED WHEN AVAILABLE. REPAIR FIRM MUST CONTACT A SECOND SUPPLIER IF PARTS NOT AVAILABLE AT FIRST.

Final Repair Account Signature Sheet

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*FRASS*

LES RENSEIGNEMENTS QUI SUIVENT VISENT À VOUS AIDER À MIEUX COMPRENDRE VOTRE ESTIMATION.

FRANCHISE La franchise est la part des coûts de réparation de votre véhicule dont vous avez la responsabilité. Une fois que les réparations ont été effectuées de manière satisfaisante, la franchise indiquée au centre, sur le côté gauche du document d’estimation (page un), doit être payée à l’atelier de réparation.

DÉPRÉCIATION ET APPRÉCIATION L’objectif de votre assurance automobile est la remise du véhicule accidenté dans l’état où il se trouvait avant l’accident ou dans un état semblable. Si des pièces usées de votre véhicule sont remplacées par des pièces neuves, vous devez payer une partie dés coûts. Par exemple, si un pneu ayant une bande de roulement usée à 50 % est remplacé par un pneu neuf, vous devrez payer 50 % du coût de remplacement. Le même principe s’applique à toutes les pièces qui ont été endommagées, rouillées, usées ou détériorées avant l’accident.

INDEMNITÉ POUR LES RÉPARATIONS Si une pièce endommagée ou rouillée avant l’accident subit d’autres dommages qui peuvent faire l’objet d’une demande d’indemnisation, l’estimation peut indiquer un montant alloué à la main-d’oeuvre pour la réparation de la pièce. L’indemnité correspond à la contribution de la Société d’assurance publique à la réparation des dommages indemnisables. Tous les coûts additionnels afférents aux dommages antérieurs à l’accident peuvent être discutés avec l’atelier de réparation et leur responsabilité incombe au propriétaire du véhicule.

EXCLUSIONS L’assurance n’offre aucune protection pour le contenu du véhicule ainsi que pour les pièces qui sont défectueuses en raison d’un défaut ou d’une panne mécanique, de la rouille, de la corrosion, de l’usure, du gel ou d’une explosion dans la chambre de combustion. Pour de plus amples renseignements sur les exclusions, veuillez consulter votre expert en sinistres.

CONTRÔLE DE LA QUALITÉ La Société d’assurance publique procède à des inspections aléatoires des véhicules réparés afin de veiller à ce que les réparations soient effectuées adéquatement et

conformément à l’estimation. Si vous avez des questions ou des préoccupations au

sujet des réparations, veuillez consulter votre expert en sinistres.

PIÈCES RECYCLÉES OU DU MARCHÉ SECONDAIRE La Société d’assurance publique s’est engagée à remettre votre véhicule dans

l’état où il se trouvait avant le sinistre. L’installation de pièces recyclées, de rechange ou du marché secondaire en conformité avec les politiques relatives auxpièces et les règles administratives de la Société d’assurance publique permet d’atteindre cet objectif.

Si des pièces recyclées sont installées, aucune dépréciation ne s’applique. Dans le cas où des pièces recyclées ne sont pas disponibles et qu’on installe des pièces neuves, vous devez, s’il y a lieu, assumer le coût de la dépréciation selon l’appréciation dont vous bénéficiez.

Si une pièce recyclée ou du marché secondaire est installée en usine, la protection de la garantie est égale à celle offerte par le fabricant original.

La Société d’assurance publique s’est engagée à réduire le plus possible les primesde tous les Manitobains. L’installation de pièces recyclées ou du marché secondaire permet de maintenir les primes à leur minimum.

Les gens reconnaissent de plus en plus l’importance de protéger l’environnement.La Société d’assurance publique est consciente des préoccupations environnementales et elle est persuadée de jouer un rôle important dans la protection de l’environnement en utilisant des pièces recyclées.

Étant donné que les pièces recyclées ou du marché secondaire se vendent à un prix inférieur à celui des pièces neuves, on minimise le coût des réparations. Cela permet à la Société d’assurance publique de réparer certains véhicules au lieu de les déclarer des pertes totales. Cela peut s’appliquer à votre véhicule.

DÉMONTAGE DES ÉLÉMENTS MÉCANIQUES Le démontage des éléments mécaniques tels que le moteur, la transmission et le différentiel ne peut être autorisé que par le propriétaire du véhicule. La responsabilité initiale des coûts afférents au démontage incombe à l’assuré(e). Si les dommages sont liés au sinistre, toutes les dépenses, moins la dépréciation, sont payées par la Société d’assurance publique.

Nous espérons que les renseignements ci-dessus sont utiles. Par ailleurs, si vous exigez de plus amples renseignements, n’hésitez pas à communiquer avec votre expert en sinistres.

N° DE DEMANDE D’INDEMNISATION _________________________

AUTORISATION DE RÉPARATION

Je soussigné(e), ______________________________________, propriétaire inscrit(e) du véhicule décrit dans la présente estimation, autorise par la présente que l’on procède aux

réparations indiquées.

CERTIFICAT DE RÉPARATION Le présent véhicule a été endommagé accidentellement le ou vers le ____________________________ et il semble avoir été réparé de manière satisfaisante. J’autorise par la présente la Société d’assurance publique du Manitoba à verser en mon nom à l’atelier de réparation indiqué dans la déclaration ci-dessous le montant indiqué dans la présente estimation ou tout autre montant autorisé et payable conformément à la présente demande d’indemnisation en vertu de la Loi sur la Société d’assurance publique du

Manitoba et de ses règlements d’application.

DATE______________________________________ SIGNATURE DE L’ASSURÉ(E)_____________________________________________________________________

JE SOUSSIGNÉ (E), (NOM)________________________________________ (OCCUPANT LE POSTE DE) __________________________________________________

CHEZ (ENTREPRISE)

(ADRESSE)_________________________________________________________________________________________ atteste par la présente que toutes les pièces ont été livrées et que tous les services ont été rendus conformément à la présente estimation.

SIGNATURE _____________________________________________________ DATE ____________________________

N° de référence de l’atelier: ___|___|___|___|___|___|___

N° de compte enregistré auprès de la Société d’assurance publique: ___|___|___|___|___|___|___

N° d’enregistrement aux fins de la TPS __|___|___|___|___|___|___|___|___|___

N° de transfert des pièces recyclées. ___|___|___|___|___|___|___

N° de pièce du marché secondaire ___|___|___|___|___|___|___ __|___|___|___|___|___|___ __|___|___|___|___|___|

VEUILLEZ PRENDRE NOTE DE CE OUI SUIT :

DES PIÈCES RECYCLÉES REMPLACERONT LES PIÈCES NEUVES INDIQUÉES DANS LA PRÉSENTE ESTIMATION, LÀ OÙ ELLES SONT DISPONIBLES. L’ATELIER DE RÉPARATION DOIT COMMUNIQUER AVEC LE BUREAU DU PROGRAMME DES PIÈCES RECYCLÉES AU 204-985-0996 OU AU 1-800-665-7264 POUR ÉTABLIR LA DISPONIBILITÉDES PIÈCES.

LES ESTIMATIONS INFORMATIQUES SONT FONDÉES SUR LES TARIFS DES ATELIERS ACCRÉDITÉS. LES TARIFS DE MAIN-D’OEUVRE SERONT RAJUSTÉS POUR LES ATELIERS NON ACCRÉDITÉS.

SEULES LES PIÈCES DONT L’INSTALLATION A ÉTÉ AUTORISÉE SERONT PAYÉES. LA SOCIÉTÉ D’ASSURANCE PUBLIQUE SE FIE À LA LISTE DE PRIX DU FABRICANT POUR LES PIÈCES NEUVES.

DES PIÈCES DU MARCHÉ SECONDAIRE REMPLACERONT LES PIÈCES NEUVES INDIQUÉES DANS LA PRÉSENTE ESTIMATION, LÀ OÙ ELLES SONT DISPONIBLES. L’ATELIER DE RÉPARATION DOIT COMMUNIQUER AVEC UN DEUXIÈME FOURNISSEUR SI LE PREMIER N’A PAS LES PIÈCES DEMANDÉES.

FEUILLE DE SIGNATURE DU COMPTE RENDU FINAL DES

RÉPARATIONS

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Example Amendment Form with Barcode

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Example Completed Amendment Form

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Example Invoice with Labour and List Prices for All Parts

*BSSPR*BODY SHOP SHORT PAYMENT REQUEST

FROM: _______________________________; (REPAIR FIRM)

TO: _______________________________; (ESTIMATING SUPERVISOR / ESTIMATOR)

Date: _____________________ Shop Reference #: _______________________

Claim Number: ____________________ Registered Acct #: _______________________

Estimator: _____________________ Contact Person: _______________________

Adjuster: _____________________ Repair Firm Ph#: _______________________

Repair Firm Fax #: _______________________

SHOPS EXPLANATION OF SHORT PAYMENT:

Line #

Line #

Line #

Line #

The above noted Body Shop has informed us that they were short paid $______________, from the attached estimate.

MPI RESPONSE:

Explanation:

After reviewing the account, please pay $________________.

_________________________

APPROVED SIGNATURE BY

THE ESTIMATOR/SUPERVISOR/PARTS COORDINATOR