Form will be used for NPs to become affiliated with an organization and participate in the NP Service Encounter Tracking and Reporting (SERT) Initiative to receive funding from the MOHLTC
Provider/hospital applies for Interactive Voice Response to verify Health Card numbers via telephone
IHPs requesting approval to submit their claims in MRI format
Form completed by clients to record their wishes for organ/tissue donation
Form used by physicians to make inquiries regarding payment details on Remittance Advice
Form outlines the Conformance Testing-Acceptable Use Policy and is part of agreement between ministry and vendor who must successfully pass the conformance testing.
form used so physicians can have direct deposit of payment of claims
accompanied with form completed by clients to record their wishes for organ/tissue donation
Hospitals submit form to ministry to obtain Health Number of patient when number is not available
Form related to EDT process for IHPs
Form will be used by IHPs to form a registered group
form to be completed by those eligible for eye exams to be covered under OHIP
form used so that new patient to primary health group can join that group due to reasons on form
IHPs apply to submit claim information via EDT
Physicians utilise form to order Primary Health Care select forms/materials from vendor.
Physicians complete form to indicate their preference on how malpractice reimbursement will be sent to them.
Form authorizes the ministry to disclose an individual's personal claims history information directly to a third party.
Receive information required to process Personal Claims History information requests from individuals or individual's substitute decision makers.