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Once all appeal rights have been exhausted, the Health Insurance Act authorizes the General Manager of OHIP to publicize information about providers who have been directed by a panel of a Medical or Practitioner Review Committee to repay money received for improper claims. This Bulletin contains the release of this information.

The following information pertains to physicians who appeared before a panel of the Medical Review Committee for a review of services provided on or after May 1, 1996, and who have been directed to repay claims to OHIP as of March 31, 2002, and whose appeal rights have been exhausted.

Specialty/ Practitioner Type : Region Where Services Under Review Provided : Region Where Provider Currently Practicing (as of 07/31/01) : Period of Review : mm/dd/yy
    CODES REVIEWED
Referred to Review Committee
    CODES REVIEWED
Contained in Review Committee Direction
Recovery Amount * :
Family Practice and General Medicine Central West Central West 05/01/96 to 7/31/97 A003, A007, J304A, K013 A003, A007, J304A, K013 $53,750.00
Neurology Central West Central West 06/01/97 to 05/31/99 A183, A184, A186, A188, A385 A183, A184, A186, A385 $56,627.83
Family Practice and General Practice Central East Central East 05/01/96 to 06/30/96 A001, A003, A007, G465, G467 A003, A007 $269.05
Family Practice and General Practice Central East Central East 05/01/96 to 07/31/97 A003, A004, A007, K002, K007, K013 A003, A004, A007, K002, K007, K013 $21,250.00
Internal Medicine Central East Central East 08/01/96 to 07/31/98 A133, A135 A133, A135 $35,000.00
Anaesthesia Central East Central East 05/01/96 to 07/31/96 A013, A014, A015, G123, G216, G219, G223, G227, G228, G231, G235, G238, G273, G384, G385 A013, A015, G123, G216, G219, G223, G227, G228, G231, G235, G238, G273, G384, G385, $12,714.26
Anaesthesia Central South Central South 06/01/97 to 05/31/99 A007, A014, A015, G123, G214, G218, G227, G228, G234, G238, G384, G385 A007, A014, A015, G123, G214, G218, G228, G234, G238, G384, G385 $53,463.28
Internal Medicine Central East Central East 07/01/97 to 06/30/99 A133, A134 A133, A134 $99,212.17
Family Practice and General Practice Central South Central South 05/01/96 to 01/31/00 A007 A007 $34,218.33
Paediatrics Central East Central East 07/01/96 to 06/30/98 A007, A263, A264 A263, A264 $120,747.73
Family Practice and General Practice Central West Central West 01/01/98 to 12/31/99 A007 A007 $55,017.26
Internal Medicine Southwest Southwest 05/01/96 to 02/28/98 A133, A135 A133 $82,179.43
Family Practice and General Practice East East 05/01/96 to 06/30/97 A003, A007, K007, K013 A003, A007, K007, K013 $40,833.33
Paediatrics Central East Central East 11/01/96 to 10/31/98 A263, A264, K013 A263, A264, K013 $82,179.43
Paediatrics Central East Central East 08/01/96 to 07/31/98 A007, A263, A264 A007, A263, A264 $40,833.33
Family Practice and General Practice Central West Central West 05/01/96 to 09/30/96 A003, A007, K007, K013 A003, A007, K007, K013 $16,242.69
Internal Medicine Central West Central West 5/01/96 to 09/30/97 A133, A135, A136, G111, G112, G315, G319 A133, A135, A136 $21,250.00
Family Practice and General Practice Central East Central East 05/01/96 to 10/31/96 A003, A004, A007, G310, G313, G467, G482, G489, G700, K007 A003, A004, A007, K007 $2,616.85

* The recovery amount includes amounts that pertain to services provided on or after May 1, 1996.




Ontario Ministry of Health and Long-Term Care
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