Provider Information

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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2009 Newsletters
NUMBER	TOPIC	DISTRIBUTION
09-07	Fee-For-Service General Practice Obstetric Bonus Program	All Fee-For-Service General Practitioners
09-06	Retroactive Payment	On-Call Payment Program Physicians
09-05	Dental Health Plan Payment Schedule	All Dental Providers
09-04	Surgical Dental Payment Schedule	All Dental Providers
09-03	Revised MCP Payment Schedule Effective April 1, 2009	All Physicians
09-02	Surgical Dental Payment Schedule	All Dental Providers
09-01	2008 Malpractice Protection Reimbursement of CMPA Fees	All Fee For Service Physicians

2008 Newsletters
NUMBER	TOPIC	DISTRIBUTION
08-14	Holiday Dates for Fee Code 139 - 2009	Fee-For-Service General Practitioners
08-13	Statutory/Civic Holidays - 2009	All Physicians and Dentists
08-12	Claim Submission Deadlines and Payment Dates - 2009	All Physicians and Dentists
08-10	MCP Re-registration	All Providers
08-09	MCP Card - Embossed and Laser Printed Cards	All Providers
08-07	On-Call Payment Program Information Manual	On-Call Payment Program Physicians
08-02	Claims Monitoring System Update	All Fee-for-Service Physicians

2007 Newsletters
NUMBER	TOPIC	DISTRIBUTION
07-10	Late Claims Policy	All Physicians and Dentists
07-06	Increased Rates for On-Call Payment Program Fee Codes	On-Call Payment Program Physicians
07-02	Physician Information Manual (PIM)	All Physicians

2006 Newsletters
NUMBER	TOPIC	DISTRIBUTION
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

2004 Newsletters
NUMBER	TOPIC	DISTRIBUTION
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

2003 Newsletters

NUMBER

TOPIC

DISTRIBUTION

03-04

Physician Medical Audit Program

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All Fee-for-Service Physicians

2002 Newsletters
NUMBER	TOPIC	DISTRIBUTION
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

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
00-02	Patient Recall for Cervical Screening	All Physicians

1999 Newsletters
NUMBER	TOPIC	DISTRIBUTION
99-08	Release of Beneficiary MCP Numbers	All Physicians and Dentists

1998 Newsletters
NUMBER	TOPIC	DISTRIBUTION
A-3-'98	Claims for Services Rendered in Hospitals/Health Care Centers	All Fee-For-Service Physicians

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