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Information for Providers

 
Registration

All providers who wish to bill the Medical Care Plan or the Dental Health Plan must register with MCP by submitting a completed Provider Registration Form. This form can be used for the initial registration, as well as for changes to registration information or re-activation of a previous registration. A guide for completing the form is also available.

Before a physician can be registered with MCP, licensure by the College of Physicians and Surgeons of Newfoundland and Labrador is required. Likewise, dentists must be licensed by the Newfoundland Dental Board before being registered with MCP.

Providers who are registered with MCP will be assigned a billing number which must be recorded on all claims submitted for payment.

Payment of claims is made in accordance with the MCP Payment Schedule which is established under the Medical Care Insurance Physicians and Fees Regulations. Physician's Fees are established in consultation with the Newfoundland and Labrador Medical Care Association. Dentist's fees are established in consultation with the Newfoundland Dental Association.

Claim Submission

MCP has established 26, two-week processing cycles during the fiscal year for the submission and processing of provider claims. The end of each two-week cycle is marked by a cut-off date, or deadline, for the receipt of claims. Providers can submit claims at any time during a cycle. The list of claim cut-off dates for the upcoming year is distributed to providers through an MCP Newsletter.

Providers who wish to submit claims electronically must complete and submit an Electronic Billing Application.

Providers submitting claims to MCP may use private vendors' billing software, or MCP's TeleClaim Software, to prepare and reconcile claims. The software package chosen must use file formats that conform to MCP's specifications for electronic file transmissions. In addition, electronic submission will require installation of  MCP's MCPConnect / MCPSubsys software, a communication package which is provided free of charge.

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Claim Payment

All claims which are accepted for payment will be paid to the provider through electronic bank deposit, on a payday three weeks from the cut-off date. A remittance statement will be produced for each provider that details each claim that was processed and paid. Providers will receive their remittance statements in an electronic format. The list of claim payment dates for the upcoming year is distributed to providers through an MCP Newsletter. Providers may assign their payments to another provider, group, or hospital by submitting a completed Assignment of Payment Agreement to MCP.

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Newsletters

When necessary, MCP publishes and distributes Newsletters to providers. Normally, each Newsletter concerns a specific topic and may or may not be sent to all providers, depending on the relevancy of the issue to certain specialties or groups of providers.

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 2008 Newsletters

NUMBER TOPIC

DISTRIBUTION

08-11 MOA Year 4 Increase All Fee For Service Physicians
08-10 MCP Re-registration All Providers
08-09 MCP Card - Embossed and Laser Printed Cards All Providers
08-08 Fee-For-Service General Practice Obstetric Bonus Program All Fee-Fee-For Service General Practitioners
08-07 On-Call Payment Program Information Manual On-Call Payment Program Physicians
08-06 Retroactive Payment On-Call Payment Program Physicians
08-05 April 1, 2008 Increase All Fee-For-Service Dentists and Dental Specialists
08-04 MOA Year 3 Increase - April 1, 2008 All Fee-For-Service General Practitioners
08-03 MOA Year 3 Increase - April 1, 2008 All Fee-For-Service Specialists
08-02 Claims Monitoring System Update All Fee-for-Service Physicians
08-01 2007 Malpractice Insurance Premium Subsidy All Fee-for-Service Physicians

 2007 Newsletters
NUMBER TOPIC DISTRIBUTION
07-14 Holiday Dates For Fee Code 139 - 2008 Fee-For-Service General Practitioners
07-13 Statutory/Civic Holidays - 2008 All Physicians and Dentists
07-12 Claim Submission Deadlines and Payment Dates - 2008 All Physicians and Dentists
07-11 MCP Re-Registration All Physicians
07-10 Late Claims Policy All Physicians and Dentists
07-09 MOA Year 3 Increase All Fee For Service Physicians
07-08 Fee Code 139 Fee For Service General Practitioners
07-07 MCP Re-Registration All Physicians
07-06 Increased Rates for On-Call Payment Program Fee Codes On-Call Payment Program Physicians
07-05 Fee-For-Service General Practice Obstetric Bonus Program Distribution All Fee For Service General Practitioners
07-04 MCP Beneficiary Reregistration - Expiry of Old MCP Cards Extended All Providers
07-03 Retroactive Payment On Call Payment Program Physicians
07-02 Physician Information Manual (PIM) All Physicians
07-01 2006 Malpractice Insurance Premium Subsidy All Fee For Service Physicians

 2006 Newsletters
NUMBER TOPIC DISTRIBUTION
06-01 2005 Malpractice Insurance Premium Subsidy All Fee For Service Physicians
06-02 Increased Rates for On-Call Payment Program Fee Codes On-Call Payment Program Physicians
06-03 Fee-For-Service General Practice Obstetric Bonus Program All Fee-For-Service General Practitioners
06-04 General Practice After Hours Funding Allocation All Fee-For-Service General Practitioners
06-05 MCP Beneficiary Re-Registration All Providers
06-06 Revised Premble and Payment Schedule All Dental Providers
06-07 New Audit Process to be Piloted (Claims Monitoring System) All Fee For Service Physicians
 
  CMS Brochure Q&A October 2006 All Fee For Service Physicians
06-08 Retroactive Payment On-Call Payment Program Physicians
06-09 Fee Code 139 Fee-For-Service General Practitioners
06-10 Claim Submission Deadlines and Payment Dates - 2007 All Physicians and Dentists
06-11 Statutory/Civic Holidays - 2007 All Physicians and Dentists
06-12 Holiday Dates for Fee Code 139 - 2007 Fee For Service General Practitioners

 2005 Newsletters

NUMBER TOPIC

DISTRIBUTION

05-01 2004 Malpractice Insurance Premium Subsidy All Fee-for-Service Physicians
05-02 Revised MCP Payment Schedule All Physicians
05-03 Fee For Service General Practice Obstetric Bonus Program All Fee For Service General Practitioners
05-04 Payment Schedule Errata and Index All Physicians
05-05 Statutory/Civic Holidays - 2006 All Physicians and Dentists
05-06 Claim Submission Deadlines and Payment Dates -2006 All Physicians and Dentists

 2004 Newsletters

NUMBER TOPIC

DISTRIBUTION

04-01 2003 Malpractice Insurance Premium Subsidy All Fee-for-Service Physicians
04-02 Additional Pages and Index for January 1, 2004 MCP Medical Payment Schedule All Physicians
04-03 Paper Claim Submission of Fee-for-Time Codes All Fee-for-Service Physicians
04-04 Merger of Paper and Electronic Fee-for-Time Billing Systems All Physicians
04-05 Universal On-Call Payment Policy All Physicians - Fee-for-Service and Salaried
04-06 Increases to MCP Payments for Year 3 of the Memorandum of Agreement All Fee-for-Service Physicians
04-07 Statutory/Civic Holidays - 2005 All Physicians and Dentists
04-08 Claim Submission Deadlines and Payment Dates - 2005 All Physicians and Dentists

 2003 Newsletters

NUMBER TOPIC

DISTRIBUTION

03-01 2002 Malpractice Insurance Premium Subsidy All Fee-for-Service Physicians
03-02 Discontinued Use of MCPSUBSYS 2.2 Software All MCPSUBSYS 2.2 users
03-03 Payment of Retroactive Increase All Fee-for-Service Physicians
03-04 Physician Medical Audit Program
View the Flow Charts:
  On-Line
  Adobe® PDF file
  Microsoft® PowerPoint® Presentation
All Fee-for-Service Physicians
03-05 Increases to Hourly Emergency Department Rates General Practitioners
03-06 Final Payment of Retroactive Increase All Fee-for-Service Physicians
03-07 Discontinued Use of MCPSUBSYS 2.2 Software All MCPSUBSYS 2.2 users
03-08 On-Call Payment Program Designated On-Call Physicians
03-09 Increases to MCP Payments for Year 2 of the Memorandum of Agreement All Fee-for-Service Physicians
03-10 Statutory/Civic Holidays - 2004 All Physicians and Dentists
03-11 Claim Submission Deadlines and Payment Dates - 2004 All Physicians and Dentists
03-12 Revised MCP Payment Schedule All Physicians

2002 Newsletters
NUMBER TOPIC

DISTRIBUTION

02-01 Anaesthesia Allocation for 2001/2002 All Anaesthetists
02-02 1. Increases to MCP Payments for 2002/2003
2
. New Proration Thresholds 
All Physicians, except Anaesthetists
02-03 1. Anaesthesia Allocation for 2002/2003
2. New Proration Thresholds
All Anaesthetists
02-04 Claim Submission Deadlines and Payment Dates-2003 All Physicians and Dentists
02-05 Statutory/Civic Holidays - 2003 All Physicians and Dentists

2001 Newsletters

NUMBER

TOPIC

DISTRIBUTION

01-01

2000 Malpractice Insurance Premium Subsidy All Fee-For-Service Physicians

01-02

General Practice Fee Code Increases for 2000-2001 All Fee-for-Service General Practitioners

01-03

Additional General Practice Fee Code Increases for 2000-2001 All Fee-for-Service General Practitioners

01-04

Provider Information Manual All Dental Providers

01-05

1. Fiscal Year 2001-2002 General Practice Increase
2. Fiscal Year 2001-2002 Specialist Increase
3. New Proration Thresholds
All Fee-For-Service Physicians

01-06

New Office in Grand Falls-Windsor All Fee-For-Service Physicians and Dentists

01-07

Billing for Patients Referred to Specialists by Nurse Practitioners All Fee-For-Service Physicians
01-08 2001 Malpractice Insurance Premium Subsidy All Fee-For-Service Physicians
01-09 Increase to Selected Fee Codes All Fee-For-Service General Practitioners
01-10 Claim Submission Deadlines and Payment Dates - 2002 All Physicians and Dentists
01-11 Statutory / Civic Holidays - 2002 All Physicians and Dentists
01-12 Allocation of 2000-2001 Disparity Dollars All Fee-For-Service Physicians

2000 Newsletters

NUMBER

TOPIC

DISTRIBUTION

00-01

1999 Malpractice Insurance Premium Subsidy All Fee-For-Service Physicians

00-02

Patient Recall for Cervical Screening All Physicians

00-03

Payment Schedule Index All Physicians

00-04

General Practice Fee Increases for 2000/01 All Fee-For-Service Physicians

00-05

Newfoundland Medical Care Commission merger with Dept. of Health All Fee-For-Service Physicians and Dentists

00-06

Closure of the Grace Hospital St. John's Region Fee-For-Service Physicians

00-07

Billing for MCP and WHSCC services rendered to patients during the same office visit FFS General Practitioners

00-08

1. Fiscal Year 2000-2001 Specialist Increase
2. New Rates for Organized Sessional Clinics
3. New Proration Thresholds
All Fee-For-Service Physicians

00-09

Statutory/Civic Holidays - 2001 All Physicians and Dentists

00-10

Clain Submission Deadlines and Payment Dates - 2001 All Physicians and Dentists

1999 Newsletters

NUMBER

TOPIC

DISTRIBUTION

99-01

1998 Malpractice Insurance Premium Subsidy All Fee-For-Service Physicians

99-02

Implementation of the Memorandum of Understanding All Fee-For-Service Physicians

99-03

Claims for Surgical Assisting Services FFS General Practitioners

99-04

MCP Internet Site All Physicians and Dentists

99-05i

Providers Submitting Electronic Claims All Providers Submitting Electronic Claims

99-05ii

Providers using TeleClaim 3.1 All Providers using TeleClaim 3.1

99-05iii

Providers using TeleClaim 3.0 & Teledent 3.0 All Providers using TeleClaim 3.0 & Teledent 3.0

99-05iv

Providers using TeleClaim 2.1 All Providers using TeleClaim 2.1

99-05v

Providers Submitting Electronic Claims on Diskette All Providers Submitting Electronic Claims on Diskette

99-05vi

Hospital I.T. Directors using TeleClaim 3.1 All Hospital I.T. Directors using TeleClaim 3.1

99-05vii

Hospital I.T. Directors using TeleClaim 3.0 All Hospital I.T. Directors using TeleClaim 3.0

99-05viii

Electronic Claim Billing Software Vendors
Electronic Claim Billing Services
Electronic Claim Billing Support Vendors
All Electronic Claim Billing Software Vendors
All Electronic Claim Billing Services
All Electronic Claim Billing Support Vendors

99-06

Claims for Surgical Assisting Services Fee-for-Service General Practitioners

99-07

Nunavut Health Care Cards All Physicians and Dentists

99-08

Release of Beneficiary MCP Numbers All Physicians and Dentists

99-09

Block funding claims for Neonatology services provided at the Grace General and the Janeway Hospitals Neonatologists and Paediatricians

99-10

Revised MCP Payment Schedule All Physicians

99-11

Claim Submission Deadlines and Payment Dates - 2000 All Physicians and Dentists

99-12

Statutory / Civic Holidays - 2000 All Physicians and Dentists

 

1998 Newsletters

NUMBER

TOPIC

DISTRIBUTION

A-1-'98 1997 Malpractice Insurance Premium Subsidy All Fee-For-Service Physicians
A-2-'98 Complex Assessment in Dedicated 24hr On-site Emergency Departments All Fee-For-Service Physicians
A-3-'98 Claims for Services Rendered in Hospitals/Health Care Centers All Fee-For-Service Physicians
A-4-'98 Fee-for-Service Payment Increases All Fee-For-Service Physicians
A-5-'98 Claim Submission Deadlines and Payment Dates All Physicians and Dentists
A-6-'98 Statutory/Civic Holidays-1999 All Physicians and Dentists
A-7-'98 Year 2000 Compliance Reminder Providers who submit claims electronically
S-1-'98 Out-of-Province Billing All Salaried Physicians

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Newfoundland and Labrador Medical Care Plan, all rights reserved.

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