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Ministry Status: Routine Monitoring and Engagement

Ontario Health Insurance Plan

OHIP Bulletins

OHIP Technical Bulletin

Ensuring excellence in claims service delivery for Ontarians

OHIP Technical Bulletin

To:  OHIP Billing Software Vendors

Published by: Claims Services Branch

Date Issued: November 22, 2016

Bulletin Number: 16-003

Re: Updates to Tables in the Technical Specifications – Interface to Health Care Systems – Electronic Input Specifications Manual (Tech Spec)

Posted Electronically Only

PDF Version Portable Document Format | 134 Kb

  1. Fee Schedule Code (FSC) Amendments to the table in Section 4.9 – Fee Schedule Codes Requiring Diagnostic Codes

  2. FSC Deletion from the table in Section 4.10 Fee Schedule Code Relationships

    K196A – Family psychiatric care – out-patient

    • Currently K196A is listed in the Tech Spec as requiring a Master Number and In-Patient Admission Date to be submitted to the ministry for payment.
    • K196A does not require a Master Number or In-Patient Admission Date.
    • This FSC will be removed from the table in Section 4.10 Fee Schedule Code Relations.
    • These updates will be included with the next release of the manual.

If you have any questions please contact the Service Support Contact Centre at 1 800 262-6524 or SSContactCentre.MOH@ontario.ca

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