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1.4.12 UHIP - WSIB & Refugee

Describes processes in Ontario billing relating to UHIP - WSIB & Refugee.

he following contact information is for reference purposes and are not functions of OSCAR. UHIP BILLING

  Welton Beauchamp, Nixon Inc. (WBN) 
  Contacts: Clair (provider registration),  Rachel (claims)
  641 Montreal Road 
  Ottawa, ON K1K 0T4 
                1-800-565-0484       

Submitting to UHIP

  1. Put card number in OSCAR in ‘Additional Notes’(for reference)
  2. Fill out form completely
  3. Patient fills out section 1, 2, & 3 (put holder’s UHIP number in upper right corner)
  4. Have card holder sign section 3 and date
  5. Put provider’s label on section 4
  6. Doctor fills in section 5 with OHIP code and diagnosis, signs and dates
  7. Use the OMA Service Fee instead of OHIP

Patient’s Ceiling

The cardholder has $1M for the life of the insurance. The decision is up to the doctor if they want to charge the OMA or OHIP fee schedule. The patient could run out of coverage if they have a major illness.

Registering Doctors

When the first completed form is sent in by a doctor, UHIP will automatically create the doctor’s number. The doctor’s UHIP billing number will be on the first cheque for future invoices submitted.

REFUGEE Billing

 

Interim Federal Health Certificate of Eligibility
  FAS Benefit Administrators
  Contact: Lianne Backstrom (x 729)
  9th Floor, 9707-110 Street 
  Edmonton, AB T5K 3T4 
                1-800-770-2998       
  Web Site for forms: www.fasadmin.com
  (go to Client Info & click on Interm Federal Health)

Submitting Refugee Billing

  1. Fill out the Medical Services Claim Form
  2. Use OHIP codes and dollar amounts
  3. Person sending in the claim can sign by Authorized Signature
  4. Unit Label on section #2 above put ‘ATTENTION BILLER’
  5. Attach a photo copy of the patient’s Interim Federal Health Certificate
  6. Mail to above address

 

 WSIB BILLING
  Workplace Safety & Insurance Board 
  Contact: Maria Galiarity x2937
  200 Front Street West
  Toronto, ON M5V 3J1 
                1-800-387-5540       
  Web Site for forms:www.wsib.on.ca/wsibsite.nsf/public/FormsHealth

Details

For all patient visits to the office, we bill the same as an OHIP bill and just flag it at the beginning as a WSIB encounter. They are paid the same as an OHIP claim.

WSIB Forms Completed by Doctor

  • Each doctor can apply for their WSIB Billing number before submitting invoices
  • The clinical visit of a patient concerning a WSIB claim is processed with other OHIP billing and by changing the ‘Billing Type’ to ‘Bill WSIB’
  • This invoicing directly to WSIB is for filling out the WSIB forms
  • The form is the invoice when filled out with the appropriate billing code
  • There is also payment for letters requested for WSIB. Affix a label to a copy of the letter with the appropriate WSIB code

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