Canada GSC Claim Form for Medical Devices 2014 free printable template

CLAIM FORM FOR MEDICAL DEVICES PLEASE USE ONE FORM PER PRACTITIONER, PER PATIENT. PLEASE DO NOT USE THIS FORM FOR: CUSTOM-MADE FOOT ORTHOTICS OR CUSTOM FOOTWEAR Additional supplies of this form are

How to fill out Canada GSC Claim Form for Medical Devices

How to fill out Canada GSC Claim Form for Medical Devices

1. Begin by downloading the Canada GSC Claim Form for Medical Devices from the Great-West Life website or your insurance provider.
2. Fill in your personal information, including your name, address, and policy number at the top of the form.
3. Enter the details of the medical device you are claiming, including the type, brand, and any relevant serial numbers.
4. Include the purchase date and invoice number for the medical device.
5. Attach a copy of the original invoice and any supporting documents, such as a prescription or letter of medical necessity.
6. Review the completed form for accuracy and completeness.
7. Sign and date the form to authorize the claim.
8. Submit the claim form and accompanying documents to the address specified by your insurance provider.

Who needs Canada GSC Claim Form for Medical Devices?

1. Anyone who has purchased a medical device that falls under their insurance coverage and wishes to seek reimbursement.
2. Patients who have prescriptions for medical devices from their healthcare providers.
3. Individuals covered under Great-West Life or other similar insurance plans that provide benefits for medical devices.

People Also Ask about

How long do you have to submit a Greenshield claim?

Claim submission deadline: Claims must be received by Green Shield Canada within 12 months of the service date in order to be eligible for reimbursement on the expenses paid.

How do I submit a claim to Green Shield Canada?

Call Customer Service at 1-888-711-1119 for detailed claims submission instructions. Call Customer Service at 1-888-711-1119 for detailed claims submission instructions. Pre-approval is required for all nursing claims - call Customer Service for details.

How do I file a green shield claim?

How to submit a claim Online and mobile claims. Skip the mailing time and postage costs with online (and mobile!) claiming. Visit GSC everywhere. Provider-submitted claims. In a nutshell, you don't have to do anything. Really. Ol' fashioned paper claims. Have to submit a paper claim? Find tips in our Support Centre.

How do you get reimbursed from the Green Shield?

When you receive your Welcome Kit, it will include a claim form. You can complete and send it to GSC, along with the receipts. You'll be reimbursed for the expenses eligible under your plan.

How long do you have to submit a claim to Greenshield?

ALL CLAIMS MUST BE RECEIVED WITHIN 12 MONTHS OF THE DATE OF SERVICE (unless otherwise stated in your benefit plan documentation).

How do I get reimbursed from Green Shield?

When you receive your Welcome Kit, it will include a claim form. You can complete and send it to GSC, along with the receipts. You'll be reimbursed for the expenses eligible under your plan.

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What is Canada GSC Claim Form for Medical Devices?

The Canada GSC Claim Form for Medical Devices is a standardized document used by healthcare providers to claim reimbursement for medical devices provided to patients under the insurance guidelines set by the Government of Canada.

Who is required to file Canada GSC Claim Form for Medical Devices?

Healthcare providers, including physicians and authorized medical professionals, who supply medical devices to patients and wish to seek reimbursement from insurance plans are required to file the Canada GSC Claim Form for Medical Devices.

How to fill out Canada GSC Claim Form for Medical Devices?

To fill out the Canada GSC Claim Form for Medical Devices, providers need to accurately complete all required fields including patient information, device details, service provider information, and include the necessary supporting documentation such as receipts and prescriptions.

What is the purpose of Canada GSC Claim Form for Medical Devices?

The purpose of the Canada GSC Claim Form for Medical Devices is to facilitate the reimbursement process for medical devices supplied to patients, ensuring that healthcare providers are compensated for their services in accordance with insurance policies.

What information must be reported on Canada GSC Claim Form for Medical Devices?

The information that must be reported on the Canada GSC Claim Form for Medical Devices includes the patient's name, health card number, device description, service date, provider information, costs incurred, and any relevant medical documentation or prescriptions.