Health and Community Services

Audit and Claims Integrity

The Audit and Claims Integrity Division ensures that public health care funds are distributed appropriately to health care providers for services provided to beneficiaries of the Medical Care Plan (MCP), the Dental Health Plan, as well as to patients under the Medical Transportation Assistance Program. This includes managing and/or administering:

  • the MCP including the auditing of physician claims;
  • eligibility and registration services for MCP;
  • the Dental Health Plan, including the auditing of dentist claims;
  • audit services for the department;
  • the Inter-Provincial Reciprocal Billing Agreement and the Eligibility and Portability Agreement related to Newfoundland and Labrador residents accessing health services in other provinces, and other Canadian residents accessing health services in Newfoundland and Labrador;
  • claims for MCP beneficiaries for medical travel assistance through the Medical Transportation Assistance Program, including those out of country; and,
  • the identification of medical and hospital expenses incurred by residents due to negligence of a third party.

For more information regarding MCP, please visit:
Medical Care Plan (MCP)

For more information regarding the Medical Transportation Assistance Program, please visit:
Medical Transportation Assistance Program

Contact Information

MCP Public Services and Administration (General Information, Registration, Renewals)
Avalon – St. John’s
P.O. Box 8700
45 Major’s Path
St. John's, NL A1B 4J6
Toll–Free: 866–449–4459
Tel: (709) 758–1500
Fax: (709) 758–1694
All Other Areas
P.O. Box 5000
Grand Falls–Windsor, NL A2A 2Y4
Toll–Free: 800–563–1557
Tel: (709) 292–4027
Fax: (709) 292–4052
MCP Claims Processing
P.O. Box 5000
Grand Falls–Windsor, NL A2A 2Y4
Toll–Free: 800–563–2163
Tel: (709) 292–4013
Fax: (709) 292–4053
MCP Claims Assessing
P.O. Box 5000
Grand Falls–Windsor, NL A2A 2Y4
Toll–Free: 800–563–2163
Tel: (709) 292–4004
Fax: (709) 292–4053
MCP Medical Affairs & Training
P.O. Box 5000
Grand Falls–Windsor, NL A2A 2Y4
Tel: (709) 292–4003
Fax: (709) 292–4053
Audit Services
P.O. Box 8700
St. John's, NL A1B 4J6
Toll–Free: 800–563–4199
Tel: (709) 758–1566
Fax: (709) 758–1691
Toll–Free Fax: 866–819–3052
Insured Programs
P.O. Box 8700
St. John's, NL A1B 4J6
Toll–Free: 877–475–2412
Fax: (709) 729–1918
 
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