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Information for Medical Care Plan (MCP) Providers

Registration

Physicians who treat beneficiaries may submit claims for insured services directly to Medical Care Plan (MCP). Such claims must be in accordance with the established Medical Care Plan (MCP) Medical Payment Schedule PDF (1.2 MB) and will be processed by Medical Care Plan (MCP) against established claim assessment rules.

All providers who wish to bill the Medical Care Plan must register with Medical Care Plan (MCP) by submitting a completed Provider Registration Form PDF (83 KB). 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 PDF (36 KB) for completing the form is also available.

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

Providers who are registered with Medical Care Plan (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 Medical Care Plan (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 Association. Dentist's fees are established in consultation with the Newfoundland and Labrador Dental Association.

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Claim Submission

Medical Care Plan (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 Medical Care Plan (MCP) Newsletter.

Providers who wish to submit claims electronically must complete and submit an Electronic Billing Application PDF (41 KB).

Providers submitting claims to Medical Care Plan (MCP) may use private vendors' billing software, or Medical Care Plan (MCP)'s TeleClaim Software, to prepare and reconcile claims. The software package chosen must use file formats that conform to Medical Care Plan (MCP)'s specifications for electronic file transmissions. In addition, electronic submission will require installation of Medical Care Plan (MCP)'s Medical Care Plan (MCP)Connect / Medical Care Plan (MCP)Subsys 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 Medical Care Plan (MCP) Newsletter. Providers may assign their payments to another provider, group, or hospital by submitting a completed Assignment of Payment Agreement PDF (73.0 KB) to Medical Care Plan (MCP).

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Newsletters

When necessary, Medical Care Plan (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.

PDF Note: all links below are PDFs and will open in a new window.
2016 Newsletters
NUMBER TOPIC DISTRIBUTION
16-09 FEE-FOR-SERVICE GENERAL PRACTICE OBSTETRIC BONUS PROGRAM FEE-FOR-SERVICE GENERAL PRACTITIONERS
16-08 ORAL MAXILLO FACIAL (OMF) SURGEONS All Dentists
16-07 NEW ON-CALL RATE STRUCTURE All Physicians
16-06 ATIPPA Physician Notice June 2016 All Physicians
16-05 PSYCHIATRY CONSULTATION BONUS FEE FOR SERVICE PSYCHIATRISTS
16-04 ATIPPA Physician Notice All Physicians
16-03 Common Audit Issues All Fee For Service Physicians
16-02 CHANGE TO TELEPHONE NUMBER FOR ‘TELECLAIM’ AND ‘TRANS’ SOFTWARE SUPPORT ALL PHYSICIANS AND DENTISTS
16-01 CANADIAN MEDICAL PROTECTIVE ASSOCIATION (CMPA) REBATE ON 2015 MEMBERSHIP FEES ALL PHYSICIANS AND DENTISTS
2015 Newsletters
NUMBER TOPIC DISTRIBUTION
15-06 HOLIDAY DATES FOR FEE CODE 139 – 2016 FEE-FOR-SERVICE GENERAL PRACTITIONERS
15-05 STATUTORY/CIVIC HOLIDAYS – 2016 ALL PHYSICIANS AND DENTISTS
15-04 CLAIM SUBMISSION DEADLINES AND PAYMENT DATES-2016 ALL PHYSICIANS AND DENTISTS
15-03 FEE-FOR-SERVICE GENERAL PRACTICE OBSTETRIC BONUS PROGRAM Fee-for-Service General Practitioners
15-02 REVISIONS TO FEE CODE 127 All fee for service General Practicioners
15-01 CANADIAN MEDICAL PROTECTIVE ASSOCIATION (CMPA) REBATE ON 2014 MEMBERSHIP FEES All fee for service physicians
2014 Newsletters
NUMBER TOPIC DISTRIBUTION
14-05 Holiday Dates for Fee Code 139 - 2015 Fee-For-Service General Practitioners
14-04 Statutory/Civic Holidays - 2015 All Physicians and Dentists
14-03 Claim Submission Deadlines and Payment Dates - 2015 All Physicians and Dentists
2013 Newsletters
NUMBER TOPIC DISTRIBUTION
13-10 June 1, 2013 Medical Payment Schedule Errata All Physicians
13-09 New Fee Code for Office Chronic Disease Management of Patients Under 65 Years of Age Fee for Service General Practitioners
13-08 Increase to consultation rates
New fee codes
All fee-for-service Psychiatrists
13-07 Revised MCP payment schedule effective June 1, 2013
Revised alternate billing system rates effective June 1, 2013
All physicians
13-05 Guide to physician payments All physicians
13-03 Changes to MCP coverage of laser treatment of vascular skin lesions Laser Skin Surgeons
13-02 MCP Policy regarding Patient Recall for Cervical Screening Fee-for-Service General Practitioners
Fee-for-Service Obstetrician/Gynecologists
13-01 Revised Payments for Category “B” Emergency Department Coverage (105 KB) Category “B” Emergency Physicians
2012 Newsletters
NUMBER TOPIC DISTRIBUTION
2011 Newsletters
NUMBER TOPIC DISTRIBUTION
11-04 Implementation of the New Memorandum of Agreement: Retroactive Payments (69 KB) All Fee For Service Physicians
11-03 Dental Health Program Payment Schedule (65 KB) All Dentists
11-01 Dental Information Manual (DIM) (69 KB) All Dentists
2010 Newsletters
NUMBER TOPIC DISTRIBUTION
10-02 Dental Payment Schedule 2010 (78 KB) All Fee For Service Dentists
2009 Newsletters
NUMBER TOPIC DISTRIBUTION
09-08 April 1, 2009 Medical Payment Schedule Index (90 KB) April 1, 2009 Medical Payment Schedule Errata (90 KB) All Physicians
09-05 Dental Health Plan Payment Schedule (87 KB) All Dental Providers
09-04 Surgical Dental Payment Schedule (87 KB) All Dental Providers
09-03 Revised Medical Care Plan (MCP) Payment Schedule Effective April 1, 2009 (101 KB) All Physicians
09-02 Surgical Dental Payment Schedule (73 KB) All Dental Providers
2008 Newsletters
NUMBER TOPIC DISTRIBUTION
08-10 Medical Care Plan (MCP) Re-registration (77 KB) All Providers
08-09 Medical Care Plan (MCP) Card - Embossed and Laser Printed Cards (133 KB) All Providers
08-02 Claims Monitoring System Update (82 KB) All Fee-for-Service Physicians
2007 Newsletters
NUMBERS TOPIC DISTRIBUTION
07-10 Late Claims Policy (87 KB) All Physicians and Dentists
07-02 Physician Information Manual (PIM) (78 KB) All Physicians
2006 Newsletters
06-07 New Audit Process to be Piloted (Claims Monitoring System) (97 KB) All Fee For Service Physicians
06-10 CMS Brochure Q&A October 2006 (29 KB) All Fee For Service Physicians
2004 Newsletters
NUMBER TOPIC DISTRIBUTION
04-03 Paper Claim Submission of Fee-for-Time Codes (113 KB) All Fee-for-Service Physicians
04-04 Merger of Paper and Electronic Fee-for-Time Billing Systems (103 KB) All Physicians
2003 Newsletters
NUMBER TOPIC DISTRIBUTION
03-04 Physician Medical Audit Program (168 KB) All Fee-for-Service Physicians
2001 Newsletters
NUMBER TOPIC DISTRIBUTION
01-07 Billing for Patients Referred to Specialists by Nurse Practitioners All Fee-For-Service Physicians
2000 Newsletters
NUMBER TOPIC DISTRIBUTION
1999 Newsletters
NUMBER TOPIC DISTRIBUTION
99-08 Release of Beneficiary Medical Care Plan (MCP) Numbers (3 KB) All Physicians and Dentists
1998 Newsletters
NUMBER TOPIC DISTRIBUTION
A-3-'98 Claims for Services Rendered in Hospitals/Health Care Centers (3 KB) All Fee-For-Service Physicians

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