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
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 1-888-511-4666,
or send your correspondence to:
FCH Provider Relations 3080 Yonge Street, Suite 3002
Toronto, ON M4N 3N1
Summer 2004 NIHB Drug Benefit List Update
Please find attached the summer 2004 updates, which list all changes
to the April 1, 2004, NIHB Drug Benefit List (DBL). These updates
include the addition and replacement of Drug Identification Numbers
(DIN), limited use benefits, drugs removed from the Canadian market
and drugs discontinued by the manufacturer effective July 1, 2004.
These updates are reflected in the most recent electronic version
of the NIHB DBL. Please refer to the website at the following URL
address:
www.hc-sc.gc.ca/fnihb/nihb/pharmacy
Should you have any questions, please contact the FCH NIHB Toll-Free
Inquiry Centre at 1-888-511-4666.
Frequency Limits for Gloves (Item # 99400318)
On November 1, 2003, the frequency limit for gloves (item # 99400318)
changed from 400 individual gloves to 12 boxes of gloves (100 gloves
per box) per year. To verify if your client is eligible to receive
gloves at this time, please call the FCH NIHB Toll-Free Inquiry
Centre at 1-888-511-4666.
Prescription Number
Providers are reminded that the prescription number field should
not be left blank on Point of Service (POS) and paper claims. It
should be filled with a unique number assigned by the pharmacy
provider for the item dispensed. Please note that the claims will
be rejected if the same prescription number is used for two items
on the same date of service.
For further information on the data elements required on claims
submitted through POS and the NIHB pharmacy claim form, please
refer to Sections 5.4 and 5.8 of yourNIHB Pharmacy/MS&E
Provider
Information Kit (PPIK).
Change of Provider Contact Information
Providers are reminded to contact the FCH NIHB Toll- Free Inquiry
Centre at 1-888-511-4666 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
Pharmacy providers are requested to direct client inquiries to
the appropriate FNIHB Regional Office. Please refer to the Directory
insert in the pocket of your NIHB Pharmacy/MS&E Provider
Information Kit (PPIK) 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 Pharmacy/MS&E
Provider Information Kit (PPIK) 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 1-888-511-4666.
Published quarterly by First Canadian Health
Management Corporation Inc. at 3080 Yonge Street, Suite 3002, Toronto
ON M4N 3N1.
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