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VJ7/VJ8 - Stale dated claim

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Background:

 

Claim is stale dated (service date is greater than 6 months). All claims must be submitted to Ministry within 6 months of service date. 

Solution:

  1. If date is incorrect, change and resubmit claim.
  2. If service date is correct, physician must send an explanation in writing for the delay in submitting past the deadline. Contact your claim assessor to determine who to send letter to and what are the type of acceptable circumstances that the Ministry would consider. Once documentation has been sent save/resubmit claim with manual review.

 

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