Physician s Newsletter. April 2014



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April 2014

CONTENTS MANITOBA HEALTH, HEALTHY LIVING AND SENIORS INSURED BENEFITS CONTACT LIST... 3 NEW CLAIMS PROCESSING SOLUTION (CPS)... 4 CLAIMS UNIT... 5 Electronic User Sites Remittance Download Instructions... 5 ICD Codes... 5 Incomplete Claims... 5 Interest Rates July 1, 2013... 6 Re-submissions... 6 Disposal Code 44... 6 Timeline for Submission of Claims... 7 Timeline for Submission of Queries... 7 NEW Chronic Disease Management (CDM) Tariffs... 8 Midwifery Referrals and Provider Number... 9 NEW SIS to WebLink Conversion... 9 Lab Services for Northern Ontario Residents... 9 Request for Prior Approval Form... 10 OUT-OF-PROVINCE UNIT... 12 Reciprocal Billing... 12 PRACTITIONER REGISTRY... 13 Change of Electronic User Site... 13 Change of Software Vendor... 13 Change of Mailing Address... 14 Changing or Closing Bank Account... 14 Important Message For Manitoba Physicians Regarding Insurance Registry (ireg) Release... 14 THIRD PARTY CLAIMS... 15 Workers Compensation Board (WCB) Billings... 15 PHYSICIAN S MANUAL UPDATES... 16 APPENDIX... 17 Important Dates for 2014... 17 Holiday Closures... 17 Fee for Service Mailing Dates... 17 2 April 2014

MANITOBA HEALTH, HEALTHY LIVING AND SENIORS INSURED BENEFITS CONTACT LIST Practitioner Registry General Line 204-788-2567 Email: practitionerregistry@gov.mb.ca Electronic User Site Maintenance General Line 204-786-7225 EPiCS General Line 204-786-7225 Claims Unit General Line 204-786-7202 Registration of new practitioners Registration of laboratory and x-ray facilities Locum tenens registration Electronic funds transfers Physician cheque enquiry (opt-in) Claim form information/supplies By Report form Claim Query forms to be used for queries and re-submission of electronic and paper claims Physician Change of Address form, envelopes, etc. Facility Numbers (Hospital and Personal Care Homes) New electronic site set up Deletion of obsolete site Testing for electronic billing Vendor software changes (Electronic Practitioner Integrated Claims Submission) FOB holder, set up, delete and changes Tariff number information Diagnostic code information Incomplete claim enquires Medical data requirements for electronic billing Claims pending for edits 71 Claims pending as received and in progress 74 Claims pending for eligibility pending 72 Claims Unit Physician Enquires on paid, reduced or rejected claims General Line 204-786-7355 Claims pending for assessment 73, 997, 998 Registration/Client Services General Line 204-786-7101 1-800-392-1207 Patient Enquiry General Line 204-786-7367 Audit and Investigation General Line 204-786-7118 1-866-778-7730 New registration and status changes Out-of-province temporary absences or permanent moves Patient/physician requiring information on eye exams, chiropractic or insured services Applications for dental, cosmetic/plastic surgery Confidential fraud line Out-of-Province Unit Out of Country Medical and Hospital Claims General Line 204-786-7303 Out of Province Referrals 1-800-392-1207 ext 7303 Transportation Subsidy Program for approved out of province referrals Third Party Liability Unit responsible for recovery of health services when a 204-786-7201 Manitoba resident is injured and initiates a legal or insurance claim against a third party April 2014 3

NEW CLAIMS PROCESSING SOLUTION (CPS) Health, Healthy Living and Seniors is undertaking a project to replace the current billing system used to process provider claims. The new CPS will allow more efficient processing by adjudicating more claims electronically, while maintaining the security of provincial data. Over the last two months information has been provided to system vendors informing them of the changes that will need to be made to their billing systems. As well, a February Special Edition Practitioner s Newsletter was issued to provider groups, including physicians, oral/maxillofacial surgeons, nurse practitioners, optometrists and chiropractors. The new CPS is currently undergoing final development and testing. The new system is anticipated to be operational in the fall of 2014. A number of factors will determine the final go-live date, including feedback from providers. Updates will be provided to you respecting the timeframes over the coming months. Please note: More information on the new CPS, including changes to claims submission that you and your billing staff will need to be aware of in order to submit claims, is available at the following link: http://www.gov.mb.ca/health/documents/pnfeb2014.pdf 4 April 2014

CLAIMS UNIT ELECTRONIC USER SITES REMITTANCE DOWNLOAD INSTRUCTIONS All electronic user sites are responsible for downloading their remittance advice twice monthly. The remittance file corresponds to the payment dates of the 15 th of the month and the last day of the month, every month. The first day that a remittance advice is available is 2 working days after the cut-off dates listed on the message screen. The message screen will say which remittance advice is available at any given time for each specific user site at logon. Even if you have not submitted for a specific pay period, check to ensure that there is not a remittance advice to download that could contain the payment reconciliation of claims pending on previous pay periods or adjustments based on query results. Manitoba Health, Healthy Living and Seniors receives a large number of calls regarding missed downloads and user sites requiring recreates for multiple months. MHHLS policy will allow every user 1 recreate free of charge per year. Subsequent requests will result in a $300 fee for each payment recreate requested. If you are missing more than one remittance advice and require recreates for those pay periods, please call the Claims Unit at 204-786-7269, 204-788-2584 or 204-786-7394 to inquire about additional recreates. If you have any questions regarding Download specifications please review the Electronic Claims Program User Guide available through the EPiCS system online or call our Helpdesk for specific questions at 204-786-7200. If you are going to be away from your office for a period of time, please notify the Helpdesk in advance and arrangements can be made to send you the remittance advice for those pay periods for reconciliation purposes upon your return so that recreates can be avoided. ICD CODES A reminder regarding ICD codes: Three-digit ICD-9-CM codes are used to identify a condition or disease only when a fourth-digit is not available. Claims submitted with a three-digit ICD code where a fourth-digit is available will be sent back as incompletes requesting the 4th digit. If you do not have access to the ICD-9-CM book and would like a list of the three-digit ICD codes, please call, the Claims Unit at 204-786-7202. If you wish to obtain the entire ICD-9-CM book, it is available at: HSC Book Store Phone: 204-789-3601, Fax: 204-789-3901 U of M Bookstore, Fort Garry Campus Phone: 204-474-8321, Fax: 204-474-7555 INCOMPLETE CLAIMS Claims are returned Incomplete where additional information is required in order for the claim to be processed. Electronic claims returned as Incomplete with pending code 40 must be re-submitted within 6 months via a new claim with remarks indicating the statement date the original claim was returned to your office. Paper claims returned Incomplete must be returned to our office with the required additional information. For further information regarding Incomplete paper claims contact the Claims Unit at 204-786-7202. April 2014 5

INTEREST RATES JANUARY 1, 2014 Electronic claims not paid within 30 days of receipt or paper claims not paid within 60 days of receipt, are paid interest on the outstanding amount of the claim until the date of the actual payment. The interest is paid at the prime lending rate plus 1%. This rate is adjusted on January 1 st and July 1 st of each year. Effective January 1, 2014 the prime lending rate was set at 3%. Claims eligible for interest will be calculated at 3% (prime rate) plus 1% for a total of 4%. Claims that span two (2) interest periods will be paid at the current interest rate at the time of payment for the claim. E.g. Interest owed for November, December, January and February - Calculation will be based on the rate that is in effect for February. RE-SUBMISSIONS Query forms must be sent for the following disposal codes: 03, 04, 05, 08, 09, 10, 11, 12, 17, 19, 20, 21, 22, 23, 24, 25, 26, 28, 30, 31, 32, 33, 34, 38, 39, 50, 51, 53, 54, 55, 56. The following disposal codes must be re-submitted via a new claim: 01, 06, 15, 16, 18, 40, 44. Re-submitting claims When re-submitting claims that have been returned disposal code 40 or 44, please include remarks indicating the remittance advice statement date the claim was returned (eg. claim returned incomplete on September 15, 2013 remittance statement). Services submitted as x 2 but only paid x 1 must be queried via query form. If you have any questions regarding the submissions of queries please call the Claims Unit at 204-786-7271. DISPOSAL CODE 44 Claims which do not include sociological data that matches Manitoba Health, Healthy Living and Seniors (MHHLS) registration database will be automatically rejected with Disposal code 44. The sociological data which must match MHHLS registration database is: 6 digit MHHLS number surname given name date of birth sex Claims that are rejected for incorrect sociological data should be changed and resubmitted electronically. Please do not query. Claims that are rejected for incorrect sociological data should be changed and resubmitted. If you are resubmitting, and the original service date is after 6 months from the date you are resubmitting, MHHLS requires the statement date that the claim was originally returned disposal 44. This date can be printed in the remarks section of an electronic submission. Unless a remark of such is indicated, and all sociological information is correct the second time around, the resubmitted claim may be returned disposal 23 Claim received after 6 (six) months from date of service claim rejected. 6 April 2014

MHHLS will continue to assist physicians in obtaining accurate sociological data on their patients, in one of two ways. 1. Access to ireg, MHHLS Insurance Registry, is available to all Manitoba physicians. This application allows the physician or billing staff to verify sociological data for their patients, prior to submitting their claims. To apply for ireg, please call 204-786-7225 or 204-788-2584. 2. If you require information on patient eligibility, complete a 529 form Request for MHHLS Registration Number. A supply of these forms may be obtained by calling 204-786-7159. The completed form may be faxed to MHHLS at 204-783-2171, toll free at 1-866-608-2983, or mailed to 300 Carlton Street, Winnipeg, Manitoba R3B 3M9. MHHLS staff will endeavor to complete/correct the data that has been included on the form, and will thereafter fax or mail the information to you. TIMELINE FOR SUBMISSION OF CLAIMS Physicians and billing staff should be aware that the deadline for submission of claims to Manitoba Health, Healthy Living and Seniors is six months from the date of service. The Physician s Manual along with The Health Services Insurance Act states in part: 4(2) A Medical practitioner who provides an insured medical service to an insured person, who has not made an election under subsection 91(1) of the Act, shall submit to the minister. (a) a claim for the service within six months from the date on which the service was provided in the form and manner required by the minister; and (b) such further information respecting the service in a form as may be required by the minister. 4(3) the minister may extend the time limit referred to in subsection (2) if in the minister s opinion there are extenuating circumstances that prevented the filing of the claim within six month period. This six month time requirement may be waived under exceptional circumstances. Late claims are reviewed on a case-by-case basis. The following are examples of situations that may result in the time frame being extended: disasters (fire/flood), fraud, theft of computer or patient files, major computer problems and claims refused by Workers' Compensation Board. Extensions beyond six months are generally not granted for lost/not billed or misplaced claims. Requests for claims submission beyond the six month time frame should be sent by letter to Claims Unit Manager, Insured Benefits, Manitoba Health, Healthy Living and Seniors, 3 rd Floor, 300 Carlton Street, Winnipeg, MB R3B 3M9. Your letter should outline the extenuating circumstances and include a contact phone number where you can be reached. All physicians are encouraged to submit weekly or at more frequent intervals to avoid late claim submissions. TIMELINE FOR SUBMISSION OF QUERIES The timeline for submission of queries on processed (paid/rejected or reduced) claims is six months from the payment or rejection date. Where a claim is submitted with multiple tariff items, some or all of these tariffs may be paid on any one remittance advice. Claims where individual tariffs have been processed may still have items that are pending. Before sending in queries regarding unprocessed tariff(s), be sure to check your pending items. Tariffs which appear pending (71, 72, 73, 74, 997, 998) should not be queried or resubmitted. Processing of these tariff(s) will appear on subsequent statements. Claims that do not appear on your remittance advice and are within six months from the service date can be submitted via a new claim. April 2014 7

Where a claim is pending for three months or longer, and you wish to ascertain the status of the claim, please call the Claims Unit at 204-786-7269 or 204-786-7271. Queries should be submitted on the appropriate query form with all areas completed in full including Mantitoba Health, Healthy Living and Seniors registration number, patient sociological data, doctor number, user number, microfilm number, remittance advice date, service date(s), etc. Queries received outside of the above timeline will not be reviewed. If you have any questions regarding the submission of queries please call the Claims Unit at 204-786-7271. NEW CHRONIC DISEASE MANAGEMENT (CDM) TARIFFS Submission of Patient Care Treatment Forms by Fax: This is to notify you of important information regarding the status of the current fax option for physicians submitting the Patient Care Treatment Form as part of fulfilling the requirements for claiming the CDM tariffs for Diabetes, Congestive Heart Failure, Coronary Artery Disease and Hypertension. Manitoba Health, Healthy Living and Seniors (MHHLS) has been advised that the service provider for the faxing solution is winding down this line of business and will no longer be able to continue to support the current fax service beyond August 2014. After August 2014, the following remain as acceptable options for general practitioners in fulfilling the requirements for billing tariffs 8431, 8433, 8434 and 8535: 1. Mail: Paper copies of the completed Patient Care Treatment Forms can be mailed to the Claims Unit at 300 Carlton Street. 2. Drop off: Paper copies of the completed Patient Care Treatment Forms may be dropped off at 300 Carlton Street. 3. Completion of the eform: The eforms can be completed on-line and electronically submitted directly to a secure government repository. The eform can be found at: http://www.gov.mb.ca/health/primarycare/chronicdisease/docs/patientcaretreatmentforms.pdf. 4. EMR data extract: General practitioners using a Manitoba-approved Electronic Medical Record (EMR) system may have the option of submitting the supporting information through a quarterly data extract from their EMR, rather than completing the Patient Care Treatment Form to substantiate their claim. This option is available to PIN sites and other sites that have met the criteria for electronic submission and been informed of this by Manitoba Health, Healthy Living and Seniors. For additional information regarding this option, please contact Katie Dyck at (204) 926-3803 or by email at kdyck10@manitoba-ehealth.ca. Physicians are reminded that CDM tariffs are payable only to the general practice physician who has provided the majority of the patient s ongoing comprehensive care, in relation to the management of the chronic disease, for the preceding twelve (12) months. 8 April 2014

MIDWIFERY REFERRALS AND PROVIDER NUMBER Midwifery has been a regulated profession in Manitoba since June 12, 2000. Midwives have the ability to refer their clients for lab & x-ray tests as well as consultations with Physicians. In the past, billing number 3993 (Midwifery) was entered in the referring doctor field as a generic identifier on lab & x-ray claims. The same number was used on claims billed by Physicians for services such as the Midwifery Assessment and Report (tariff 8416) and Telephone/Facsimile/Email Communications (tariff 8000) when the referring provider was a Midwife. Midwives are now registered by Manitoba Health, Healthy Living and Seniors, Practitioner Registry with unique provider numbers. The Midwife s unique provider number should now be entered in the referring doctor field for any applicable physician billing (i.e. tariff 8416, lab claims, etc.). Use of the generic billing number 3993 will be discontinued. NEW SIS TO WEBLINK CONVERSION In the next few months Manitoba Health, Healthy Living and Seniors is transitioning users who log in to the EPiCS system through the SIS portal to the new WebLink portal. The change from SIS to WebLink is an upgrade to an online application and does not require any new hardware. The functionality and view is almost identical to the SIS portal. Preliminary notifications are going out by letter to sites that have been identified for conversion. Letter distribution will be followed by a phone call from Manitoba Health, Healthy Living and Seniors staff to validate your information and schedule your conversion. If you or your billing staff have any questions, please contact Irene Trudeau at 204-788-2587. Thanking you in advance for your co-operation during this transition. LAB SERVICES FOR NORTHERN ONTARIO RESIDENTS Manitoba Health, Healthy Living and Seniors has been advised by OHIP that effective August 1, 2013, Manitoba physicians authorized to order lab services in Manitoba will now be able to order lab services in Ontario for Northern Ontario patients (Kenora and surrounding areas) without requiring an Ontario physician sign the requisition form. All requests must be submitted on an Ontario laboratory requisition form which can be found on Ontario's website at: http://www.forms.ssb.gov.on.ca/mbs/ssb/forms/ssbforms.nsf/getattachdocs/014-4422-84~1/$file/4422-84.pdf Any questions concerning this process may be directed to Ontario at interprovincebilling.moh@ontario.ca April 2014 9

REQUEST FOR PRIOR APPROVAL FORM In consideration of the new Claims Processing Solution (CPS) and the requirement for the PHIN, Manitoba Health, Healthy Living and Seniors has revised the Request for Prior Approval form to include the PHIN on this document. Please start using the attached form immediately. Feel free to make copies of the form contained on the next page of this newsletter for your use or contact us at 204-786-7334 for an electronic copy. The completed form can be sent to: Patient Enquiry Manitoba Health, Healthy Living and Seniors 3 rd floor, 300 Carlton Street Winnipeg, MB R3B 3M9 Fax: 204-772-2248 10 April 2014

April 2014 11

OUT-OF-PROVINCE UNIT RECIPROCAL BILLING Reciprocal billing agreements between the provinces (except for Quebec) allow physicians to submit claims to Manitoba Health, Healthy Living and Seniors (MHHLS) for most services provided to out-of-province patients. This includes services rendered in the ER, OPD or In-patient department of a hospital and in private offices (except for certain excluded and in-hospital diagnostic services as noted below). Therefore you should submit your accounts for insured services provided to any Canadian resident (except for patients from Quebec) to MHHLS for processing at Manitoba rates. Carefully check the patient s health care card to ensure that their coverage has not expired, as some provinces issue renewable rather than lifetime registration numbers. If a patient does not present a valid health care card, the patient can be considered uninsured and billed directly for all services. The patient may then seek reimbursement from their private insurer or, if they have valid coverage, their home province s insurance plan. Quebec does not participate in the inter-provincial reciprocal medical billing agreements. If you treat a Quebec resident, your physician billing options are as follows: Bill the Quebec resident directly. The resident can then seek reimbursement from the Quebec Health Plan; or Bill the The Régie de l'assurance maladie (contact information can be found at http://www.ramq.gouv.qc.ca/en/courrier/index.shtml). You will be paid the applicable Quebec rates for the services rendered. You will also need to ensure that the Quebec resident s health care card is valid. 12 April 2014

PRACTITIONER REGISTRY CHANGE OF ELECTRONIC USER SITE Practitioners changing and/or leaving an Electronic User Site should notify Manitoba Health, Healthy Living and Seniors (MHHLS) in writing specifying the date they will be leaving practice at that location. Please be sure to include your name, billing number, user site number and the effective date. Once this information is received, MHHLS will adjust your profile to reflect the corrected information. When beginning at a new practice location, practitioners should complete a Letter of Agreement form. The Letter of Agreement allows MHHLS to link the practitioner s billing number with the new user site number so claims will be accepted electronically by MHHLS. Fee-for-Service practitioners should complete an Electronic Funds Transfer form. The Electronic Funds Transfer form allows MHHLS to direct the funds generated through the submission of claims at that location to a bank account of your choice. Claims should not be submitted before these completed forms are sent to MHHLS. To request forms, obtain additional information or submit correspondence regarding any of the above changes please contact Practitioner Registry at: Practitioner Registry Manitoba Health, Healthy Living and Seniors 3 rd Floor, 300 Carlton Street Winnipeg, Manitoba R3B 3M9 Phone: 204-788-2567 Fax: 204-942-2356 Email : practitionerregistry@gov.mb.ca CHANGE OF SOFTWARE VENDOR Practitioners changing Software Vendors must notify Manitoba Health, Healthy Living and Seniors (MHHLS) in writing. Be sure to indicate that you are changing software vendors, include your current user number and projected conversion dates. Please indicate that your intent is to close your old user site number once all claims and queries have been cleared. You will need to complete and submit several forms to MHHLS in order to apply for a new Electronic User Number. A test submission is also required. Your new user site number will not be activated until you have passed the testing process. Please contact Practitioner Registry for additional details and to request the required forms: Practitioner Registry Manitoba Health, Healthy Living and Seniors 3 rd Floor, 300 Carlton Street Winnipeg, MB R3B 3M9 Phone: 204-786-7225 Fax: 204-942-2356 Email : practitionerregistry@gov.mb.ca April 2014 13

CHANGE OF MAILING ADDRESS Practitioners changing their mailing address should notify Manitoba Health, Healthy Living and Seniors of the change in writing at least two weeks prior to moving, or leaving the province. This will allow sufficient time to make the necessary changes; in turn ensuring future payments or correspondence is forwarded to the proper address. Please contact us by mail: Practitioner Registry Manitoba Health, Healthy Living and Seniors 3 rd Floor, 300 Carlton Street Winnipeg, MB R3B 3M9 Email: practitionerregistry@gov.mb.ca CHANGING OR CLOSING BANK ACCOUNT Please notify Practitioner Registry, Manitoba Health, Healthy Living and Seniors at 204-788-2567 of all banking changes to ensure that your financial records are updated. IMPORTANT MESSAGE FOR MANITOBA PHYSICIANS REGARDING INSURANCE REGISTRY (IREG) RELEASE Pursuant to the Master Agreement between Manitoba Health, Healthy Living and Seniors & Doctors Manitoba, we are pleased to offer ireg (Insurance Registry) access to Manitoba physicians who currently submit claims using the EPiCS (Electronic Practitioner integrated Claim Submission) system. The Master Agreement states the following: 12:01 The parties acknowledge and agree that Manitoba Health has committed to provide Manitoba physicians that have EPiCS infrastructure in their office(s) with access to the Insurance Registry ( ireg ). Implementation will commence December 1, 2011. Thereafter, Manitoba Health will release ireg access to applicants over a six to twelve month period. You will see an icon when logging into the SIS (EPiCS) portal ireg release package. This is a PDF document which contains all the necessary paperwork in order to apply for ireg. Don t wait. Apply now. Access will be granted on a first-in, first-out basis and will be rolled out during the next several months in accordance with the Master Agreement. For additional information please call the Claims Unit at 204-786-7225 or 204-788-2584. 14 April 2014

THIRD PARTY CLAIMS WORKERS COMPENSATION BOARD (WCB) BILLINGS Manitoba Health, Healthy Living and Seniors (MHHLS) has been receiving billings from physicians providing medical services to patients who have sustained injuries or illness as a result of their employment for which they are covered by Workers Compensation Board. Physicians are reminded that the following services are not insured by MHHLS as set out in the Excluded Services Regulation under The Health Services Insurance Act. Exclusions The following services are not insured services: Services for any illness, injury or condition arising out of or in the course of employment and for which the indemnity is received under workers compensation law, occupational disease law or similar legislation. In those instances where the physician is treating a patient for a work-related injury or illness, but is not certain of WCB liability, it is recommended that the initial billing be made to WCB. Should the Board deny responsibility for the case, the claim may be redirected to MHHLS with a notation indicating WCB rejection. In cases where a WCB claim has been paid by MHHLS and subsequently paid by WCB, the request to withdraw MHHLS payment must be submitted via query form. April 2014 15

PHYSICIAN S MANUAL UPDATES Updates to the Physician s Manual are available on the Manitoba Health, Healthy Living and Seniors website for viewing and downloading. Visit the site at www.gov.mb.ca/health/manual The site will be updated quarterly, January 1 st, April 1 st, July 1 st and October 1 st of each year. Comments or questions about the manual may be directed to manual@gov.mb.ca 16 April 2014

APPEND IX IMPORTANT DATES FOR 2014 HOLIDAY CLOSURES Manitoba Health, Healthy Living and Seniors offices will be closed on the following dates: January 1, 2014 February 17, 2014 April 18, 2014 April 21, 2014 May 19, 2014 July 1, 2014 August 4, 2014 September 1, 2014 October 13, 2014 November 11, 2014 December 25, 2014 December 26, 2014 FEE FOR SERVICE MAILING DATES Paper cheques for fee for service practitioner payments are mailed on the following dates: January 14, 2014 July 14, 2014 January 30, 2014 July 30, 2014 February 14, 2014 August 14, 2014 February 27, 2014 August 29, 2014 March 14, 2014 September 12, 2014 March 28, 2014 September 29, 2014 April 14, 2014 October 14, 2014 April 29, 2014 October 30, 2014 May 14, 2014 November 14, 2014 May 30, 2014 November 28, 2014 June 13, 2014 December 12, 2014 June 27, 2014 December 30, 2014 April 2014 17

MANITOBA HEALTH, HEALTHY LIVING AND SENIORS 2014 CUT-OFF DATES FOR ELECTRONIC CLAIMS PAY PERIODS JANUARY 14 30 FEBRUARY 14 27 MARCH 14 28 APRIL 14 29 MAY 14 30 JUNE 13 27 JULY 14 30 AUGUST 14 29 SEPTEMBER 12 29 OCTOBER 14 30 NOVEMBER 14 28 DECEMBER 12 EPiCS EPiCS cut-offs are at 5:00 P.M. Check the message screen in case of changes. 30 Manitoba Health, Healthy Living and Seniors strongly recommends you submit claims frequently (no less than once per week) to reduce your risk of missing a payment cycle. Always check the audit control confirmation report (P1) the next business day to verify acceptance of files. Acceptance of the file does not guarantee payment for the claims submitted as all claims received must still follow normal processing channels and rules. Questions or concerns? Please contact: ELECTRONIC SUPPORT at 204-786-7200. 8 24 10 21 10 24 8 23 8 26 9 23 8 24 8 25 8 23 7 24 7 24 8 22 18 April 2014

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