Receive information required to prove consent provided by individuals or individual's decision makers in order to process Personal Claims History information requests from Third Parties.
Claim card used by physicians to receive reimbursement for reciprocal claims
online form to be available to providers and to Regional Operations staff on a permanent basis on the internet
Form used by physicians to register with group
Form completed by provider authorizing payment to go to group
form used for out-patient services incurred by visitors from another province
Form submitted to ministry to obtain Health Number of patient when not available
form sent to other provinces for reimbursement of inpatient claims paid (reciprocal)
form placed on top of bundles of primary care forms, to submit to ministry for processing.
Form completed to request exemption, i.e., no photo to appear on photo health card
form used, in urgent cases (i.e. patient was in hospital, newborn in NICU) where patient has no family physician so can join primary group.
The OOC/OOP PA Program eForm is designed to be completed and submitted electronically for application for prior approval for full payment of insured Out-of-Country (OOC) & Out-of-Province (OOP) laboratory and genetics testing services. English and French versions can be completed online or downloaded and saved for future use.
Form created with public health. Eligible uninsured patients diagnosed/treated for TB, physicians submit form to get paid
