Claim Review DISCLAIMER The views and opinions expressed

Claim Review Process • All Claims should be reviewed regularly. • MSP will mark

Claim Review Process • Review often. • Deal with quick claims first. • Look

Reciprocal Claims Province or Territory Codes Registration Numbers Province or Territory Alberta Manitoba Newfoundland

Reciprocal Claims http: //www 2. gov. bc. ca/gov/content/health/practitionerprofessional-resources/msp/physicians/medical-officeassistant-billing-guide. Or: Google - MOA Billing Guide.

Slides: 5

Claim Review DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of AIHS.

Claim Review Process • All Claims should be reviewed regularly. • MSP will mark a claim Paid, but may not pay the claim in full. • What about H claims? • Do we care about U claims? • How do you find these claims? • Time and concentration matter. © 2017 Applied Informatics for Health Society (AIHS)

Claim Review Process • Review often. • Deal with quick claims first. • Look for similar refusals and complete them together. • Phone MSP if you have questions. • Resubmission Wizard!! © 2017 Applied Informatics for Health Society (AIHS)

Reciprocal Claims Province or Territory Codes Registration Numbers Province or Territory Alberta Manitoba Newfoundland New Brunswick Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Saskatchewan Yukon Code AB MB NF NB NT NS NU ON PE SK YT Registration Number 9 digits 12 digits 9 digits 7 digits 10 digits 9 digits 10 digits 8 digits 9 digits GPSC Fees are not billable. If PHN is not valid, bill the patient. © 2017 Applied Informatics for Health Society (AIHS)

Reciprocal Claims http: //www 2. gov. bc. ca/gov/content/health/practitionerprofessional-resources/msp/physicians/medical-officeassistant-billing-guide. Or: Google - MOA Billing Guide. http: //www 2. gov. bc. ca/assets/gov/health/practitionerpro/medical-services-plan/msc-payment-schedule-december 2016. pdf Or: Google – MSC Payment Schedule © 2017 Applied Informatics for Health Society (AIHS)