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Ontario Health Insurance Plan

OHIP Bulletins


Keeping Health Care Providers informed of payment, policy or program changes

To: All Providers

Published by: Claims Services Branch, Ministry of Health

Date Issued: February 6, 2020

Bulletin Number: 4741

Re: Medical Claims Adjustment – Laryngoscopy in association with Gastroscopy Changes

Posted Electronically Only

PDF Version

Claims Submissions
Due to the staged implementation of new system processes, a Medical Claims Adjustment (MADJ) for Laryngoscopy in association with Gastroscopy was required to reprocess claims for Z292/Z293 and associated relevant codes.

The Medical Claims Adjustment process for Laryngoscopy in association with Gastroscopy started in January 2020 and appears on the February 2020 Remittance Advice (RA).

The MADJ includes claims submitted, with service dates between October 1, 2019 and December 3, 2019, that were previously paid, that have been adjusted accordingly to reflect the new payment rules in the Schedule.

For further details relating to the Laryngoscopy in association with Gastroscopy changes, please refer to INFOBulletins; #4734 and #11220

For details related to the AWG changes to the Schedule effective October 1, 2019, please refer to INFOBulletin # 4726 - Kaplan Board of Arbitration Award - Appropriateness Working Group (AWG): Changes to the Schedule are effective October 1, 2019.

For any further inquiries, please contact the Service Support Contact Centre at 1-800-262-6524.

For More Information

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TTY 1–800–387–5559.
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