Non-Insured Health Benefits (NIHB) Newsletter for Dental Providers
- Summer 2004
News and Information for Our NIHB Providers
First Canadian Health
NIHB Toll-free Inquiry Centre: 1-888-471-1111
For our Dental Practitioners
Summer 2004
News and Views
Welcome to the summer 2004 edition of the Non-Insured Health Benefits
(NIHB) quarterly newsletter. First Canadian Health (FCH) is now
in its sixth year of operations as the claims processor for the
NIHB Program of the First Nations and Inuit Health Branch (FNIHB)
of Health Canada.
Again, FCH would like to thank you for your support as you continue
to provide quality health services to First Nations and Inuit clients
of the NIHB Program.
As always, your comments and questions are welcome. Please contact
the FCH NIHB Toll-Free Inquiry Centre at 1-888-471-1111, or send
your correspondence to:
FCH Provider Relations
3080 Yonge Street, Suite 3002
Toronto, ON M4N 3N1
New NIHB Regional Dental Benefit Grids for General Practitioners and Specialists
The new NIHB Regional Dental Benefit Grid for General
Practitioners (GP) and Specialists (SP) for the following provinces
and territories will be in effect as of:
June 1, 2004
- Alberta, GP & SP
- British Columbia, GP & SP
July 1, 2004
- Northwest Territories, GP
- Nunavut, GP
August 1, 2004
September 1, 2004
The new grids reflect the change in prices and eligible procedures.
They will be sent to providers prior to the effective date.
Should you have any questions, please contact the FCH NIHB Toll-Free
Inquiry Centre at 1-888-471-1111.
Corrections to the Pacific NIHB Regional Dental Benefit Grid
The recent publication of the NIHB Regional Dental
Benefit Grid for General Practitioners and
Specialists, which became effective June 1, 2004,
has the following errors:
- Procedure code 01204 on page 1 should have
been published with a price of $25.20 for
Paedodontists.
- Procedure code 01602 was not included in the
fee guide. It should have been published on page 1
with a price of $75.60 for Oral Surgeons.
eElectronic Data Interchange (EDI) System for Real-time Processing
Electronic claim submission through EDI is available to CDAnet
registered providers in all provinces and territories for real-time
claim processing.
The EDI system quickly verifies that all claim submission requirements
are met, thereby reducing processing and payment delays.
Providers are invited to register for EDI by contacting the FCH
NIHB Toll-Free Inquiry Centre at 1-888-471-1111.
For further information on electronic claim submission through
EDI, please refer to your NIHB Dental Practitioner Information
Kit (DPIK).
Submission of Laboratory Fees
When submitting claims for procedure codes eligible for laboratory
fees using the NIHB DENT-29 form or EDI system, the professional
fee amount and the laboratory fee amount must be on the same claim
line. Laboratory eligible procedure codes submitted without a laboratory
amount on the same claim line will be rejected with the message R43
(LAB FEE MUST BE SUBMITTED FOR SPECIFIED PROCEDURE CODE).
Laboratory fees submitted as separate
procedure codes will be rejected with the message R04 (THIS
IS NOT AN ELIGIBLE BENEFIT).
Ontario Region's New Toll-free Contact Number
The Ontario FNIHB Regional Office has a new toll-free contact
number for all dental practitioners. The new toll- free contact
number is
1-888-283-8885.
Change of Provider Contact Information
Providers are reminded to contact the FCH NIHB Toll- Free Inquiry
Centre at 1-888-471-1111 when there is a change
of address or telephone/fax number. Failure to update your contact
information may result in a delay of receiving payments and/or
receiving important provider communication.
Client Calls
Dental practitioners are requested to direct client inquiries to
the appropriate FNIHB Regional Office. Please refer to the Directory
insert in the pocket of your NIHB Dental Practitioner Information
Kit (DPIK) for the telephone number and address of each FNIHB Regional
Office.
The FCH NIHB Toll-Free Inquiry Centre provides services to NIHB
providers only.
Providers can download a current version of the NIHB Dental Practitioner
Information Kit (DPIK) at the NIHB website:
www.hc-sc.gc.ca/fnihb-dgspni/fnihb/nihb
Providers without internet access can contact the FCH NIHB Toll-Free
Inquiry Centre at 1-888-471-1111.
Published quarterly by First Canadian Health
Management Corporation Inc. at 3080 Yonge Street, Suite 3002, Toronto,
ON M4N 3N1
|
