The General Manager of OHIP appealed a decision of the Physician Payment Review Board which found that five claims submitted by a physician were not stale-dated.
The Divisional Court held that while the Board has jurisdiction to determine the true basis for a denial of claims, its finding that the claims were not denied under s. 18(3) of the Health Insurance Act was unreasonable.
The appeal was allowed, the Board's decision was set aside, and a declaration was issued that the Board does not have jurisdiction to review decisions made under s. 18(3).
