Non-Insured Health Benefits Newsletter
First Canadian Health
News and Information for Our NIHB Providers
NIHB Toll-Free Inquiry Centre: 1-888-511-4666
For our Pharmacy Providers
Fall 2002
News and Views
Welcome to the fall 2002 edition of our NIHB quarterly newsletter.
We are now in our fourth year of operations as the claims processor
for the NIHB Program of the First Nations and Inuit Health Branch
(FNIHB) of Health Canada.
Again, we 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
our Toll-Free Inquiry Centre Representatives at 1-888-511-4666,
or send your correspondence to:
FCH Provider Relations
3080 Yonge Street, Suite 3002
Toronto ON M4N 3N1
Fall 2002 Updates to the NIHB Drug Benefit List (DBL)
Please find attached the fall 2002 updates to the NIHB Drug
Benefit List (DBL). The update lists all changes to the
April 1, 2002 NIHB DBL. It includes additions, replacement DINs,
limited use benefits, drugs removed from the Canadian market
and discontinued drugs effective October 1, 2002.
The revised NIHB DBL as well as the updates can be downloaded
online at the following Internet address:
www.hc-sc.gc.ca/fnihb/nihb/pharmacy/drugbenefitlist/
Should you have any questions, please contact our Toll- Free Inquiry
Centre Representatives at 1-888-511-4666.
New Warning Messages : W81 and W82
You will notice the following warning messages upon submitting
claims via POS as well as on your NIHB Pharmacy Claim Statement
for each claim line:
W81 - Client has provided consent
W82 - Client has not provided consent
Note: W81 is transmitted as CPhA Code
HG and W82 as Code HH.
You are not required to act upon these messages as they are for
information purposes only.
New Pseudo-DINs for Blood Glucose Supplies and Condoms
The following new drug item pseudo-DINs have been created to facilitate
the submission and payment of claims:
99401061 Freestyle Glucometer
99401062 Freestyle Test Strips
99401063 Freestyle Lancet
99400786 Condom, Non-Latex, Lubricated
Please ensure claims for these items are submitted with the correct
DIN.
Paper Claims
On all paper claims submitted for processing, providers are reminded
to indicate their FCH Provider Number and full pharmacy provider
name. The correct provider number is indicated on every correspondence
mailed out by FCH and FNIHB.
In addition, the prescriber's name and his/her billing/license
number must also be clearly indicated on all paper claims.
Failure to do so will result in the claim being returned for completion.
Attached are replacement pages for your NIHB Pharmacy/MS&E
Provider Information Kit (PPIK). Please remove the existing pages
and insert the revised ones.
Published quarterly by First Canadian Health
Management Corporation Inc. at 3080 Yonge Street, Suite 3002, Toronto
ON M4N 3N1
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