Personal information on this form is collected under the authority of the Medicare Protection Act and will be used to process your application for electronic billing, planning and record keeping.

2024年11月25日 · There are a number of forms which Medical and Health Care Providers may require when they are registering with or claiming services through MSP. For your convenience details and links to these forms are listed below. Forms are also available from Service BC Centres located throughout the province, or by contacting MSP.

2023年7月10日 · Application for Teleplan Service - Opted-out (HLTH 2771) (PDF, 125KB) Billing by Forms Practitioners who submit claims for fewer than 2,400 services per year and earn less than $72,000 annually in fee-for-service payments (who do not submit to MSP via TelePlan) may now submit claims online free of charge with the Pay Practitioner and Pay ...

Ministry of Health Services Medical Services Plan (MSP) TYPE OF PRACTICE: SOLOCLINIC PRACTITIONER NAME ADDRESS CITY POSTAL CODE PHONE NO. CONTACT PERSON PHONE NO.

To establish MSP Teleplan setup by establishing your own data centre practitioners must apply through the Application for Teleplan Service HLTH 2771. To complete this form practitioners must previously have a practitioner number or submit a Practitioner Registration Form HLTH 2848 to receive their practitioner number.

Regular PDF forms can be downloaded, printed and filled in by hand. If you have any questions about Ministry of Health forms, or you need a form revised or created, contact Forms Management at 952-2231.

2771 - Free download as Word Doc (.doc / .docx), PDF File (.pdf), Text File (.txt) or read online for free.

ClinicAid is built to connect directly to the BC Ministry of Health’s Teleplan electronic file transmission system. In order to connect your ClinicAid account to Teleplan you will need to have your payee number (usually your MSP number) connected to a Teleplan data centre number.

2025年1月14日 · You will need to apply for a Teleplan Data Centre Number where you can connect your Payee Number. If you have changed your Payee Number and have not submitted the form to Teleplan your claims will not be processed. If you have not connected your Payee Number to a Teleplan Data Centre, below are the links: Was this article helpful?