COVID Assessment and Vaccination Centre Billing
COVID Assessment / Vaccination billing is paid by the hour. You will need to use the following codes:
H409A: COVID-19 Sessional Unit-per one-hour period, or major part thereof
H410A: COVID-19 Sessional Unit-per one-hour period, or major part thereof on Saturdays, Sundays, holidays or Monday to Friday afterhours (5pm-7am)
We've put together a short tutorial on how to bill COVID assessment and vaccination centres. The steps are also available in the text below the video.
Step 1: Create a dummy patient
The MOH software systems were designed to be billed with a patient (without "blank" health card number). As such, you still have to create a (dummy) patient so that MOH accepts your claim.
Create a dummy patient with a specific health card value of 9777777779 (with any name and DOB). Our system will exclude this health card number in the claim submission.
Step 2: Add the Assessment Number (Mxxx)
On the web app:
- Settings (under <Welcome>) --> My MOH Group
- Enter the Assessment Centre group number (please obtain it from the Assessment Centre Administrator)
- Click Add New
On the mobile app:
- Go to Preferences under the left menu
2. Go to MOH Groups
3. Tap Create
4. Enter Group Number and Submit
Step 3: Create the Claim Record
On the web app:
Navigate to New Claims page and enter the following information:
- Select the dummy patient created in Step 1
- Select the Assessment Centre Group Number (Mxxx) in the MOH Group field
- Enter the Service Code H409A or H410A
- Enter the Quantity and Service Date
On the mobile app:
Navigate to New Claim on the left menu and enter the following information:
- Select the dummy patient created in Step 1
- Select the Assessment Centre Group Number (Mxxx) in the MOH Group field
- Enter the Service Code H409A or H410A
- Enter the Quantity and Service Date
IMPORTANT NOTE:
- The Mxxx group number (Assessment Centre Number) should ONLY be selected when billing service codes H409A/H410A.
- These Assessment Centre billings are submitted through Physicians’ solo MC EDT account and paid directly to the Physicians.
- A diagnostic code is NOT required when billing service codes H409/H410.
- If Physicians does not have a solo MC EDT account, please register one and follow the instructions to configure it with our system: GoSecure / MCEDT setup (designation process)
- If a direct deposit account has not been associated with physicians’ solo billing number, please set it up by completing the Application for OHIP Direct Bank Payment form and send it to the MoH Provider Registration in order to receive payments for the Assessment Centre billings.
Please refer to the OHIP Bulletin #4755 for more details about the billing rules.