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NOTICE OF DISPUTE To:MSI Appeals Coordinator MSI, P.O. Box 500, Halifax, NS B3J 2S1 MSI_AppealsCoordinator@medavie.caFrom: ___ Physician (Please print full name) Take Notice that I am referring the
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- Are interested in applying for or managing their medical benefits in Nova Scotia
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- Require information about healthcare providers and services in Nova Scotia
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MSI forms refer to the forms used for the Medical Services Insurance program in Nova Scotia, which provides coverage for medically necessary hospital and physician services.
Individuals who are residents of Nova Scotia and utilize medical services that fall under the Medical Services Insurance program are required to file MSI forms.
To fill out MSI forms, individuals must provide accurate personal information, details of medical services received, and any other pertinent information as instructed on the form.
The purpose of MSI forms is to ensure that individuals receive compensation for the medical services they have accessed, allowing for the proper billing and reimbursement under the Medical Services Insurance program.
The information that must be reported includes personal identification details, service provider information, dates of service, and descriptions of the medical services received.
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