Dental
Utilized by each province, this is a collection of descriptions, codes & suggested prices.
Fee Guide
These 3 adjudicators are formally known as Processors
Christian, Lindsay & Rianne
This box gets unchecked for Adjudicator review
HSA Automatic Top Up
OOC
Out of Country
11113
3 units of scaling
RP
Registered Psychotherapist
Prior to GroupSource, their office was a ranch
Bryce
The code/category used when sending a claim up to the next adjudication level
16D - Miscellaneous
IUD's are assessed under this benefit
Medical
These teeth are in addition to the series of normal baby & adult dentation
Supernumerary Teeth
They can perform Vitamin B infusions within their scope of practice
Naturopath
They used to participate in solo & pairs in figure skating
Jaimie
A mail claim for a member that does not exist in WEBS will be added to this pile
Send-Backs
Freestyle Libre Sensors are assessed under this category
Strips/Test Strips
This code represents 6 units of general anaesthesia
92216
The digit within the dental provider's UIN that identifies their field of practice
The second last digit
This individual shares a birthday with Price
Heather
This request comes from the Billing Administrator Team
Last date of service request
With a physician referral indicating a diagnosis and/or a requisition; this lab test is EHC eligible when performed within Ontario
Vitamin D (25 Hydroxy)
When an eligible root canal re-treatment is assessed, the last digit of the code submitted is changed to this number
1
Three practioners that are eligible to prescribe Orthotics
Podiatrist, Chiropodist, Pedorthist, Orthopedic Surgeon, Physician, Nurse Practioner & sometimes Chiropractor.
This individual trains to arm wrestle competitively
Kyle
The claims from ClaimSecure Group are always flagged & separated to be handled under Cost Plus
Shaganappi Motors
The average number of Apnea Hypopnea events are required for initial assessment of this Medical Device
CPAP, APAP, BiPAP