My WCB billing is coming back with error VH1 (OHIP number not valid)?! Workers Compensation claims can be billed via OHIP (WCB) or directly to WSIB. Billing WSIB is 3rd Party billing for non OHIP services such as filling out a form. 3rd Party ...
Symptoms Use this article when a clerk is asking: Does this dental claim qualify for an OHIP premium? Does this claim need manual review? Should I use T800? Does this Part III dental claim need prior approval? Why did T650 pay zero with a ...
Short answer These examples are training cases for clerks. They are not legal opinions and they do not replace the current OHIP schedule, fee master, or ministry adjudication. Use them to teach staff how to think through setting, documentation, ...
Short answer Use premiums when the schedule’s timing, care setting, or patient-acuity conditions are met. Use manual review when the schedule requires supporting explanation for adjudication. Use independent consideration for unlisted or specially ...