Canada GSC Claim Form for Medical Devices 2011 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 CUSTOM BRACING OR CUSTOM FOOTWEAR Additional supplies of this form are available at www. greenshield. ca. PROVIDER GREEN SHIELD PROVIDER NO. PATIENT PROVIDER PHONE NO. GREEN SHIELD I. D. PROVIDER NAME DEP SURNAME FIRST NAME COMPANY NAME BIRTH DATE // YY MO DAY ADDRESS CITY PROVINCE POSTAL CODE By signing this claim form and/or submitting actual receipts I...

How to fill out Canada GSC Claim Form for Medical Devices

How to fill out Canada GSC Claim Form for Medical Devices

1. Obtain the Canada GSC Claim Form for Medical Devices from your insurance provider or their website.
2. Fill in your personal information: name, address, contact number, and policy number.
3. Indicate the date of service related to the medical device claim.
4. Provide details about the medical device: name, description, and the reason for use.
5. Attach any required receipts or documentation proving the purchase of the medical device.
6. Complete any additional sections that your insurance provider may require, such as a physician's recommendation.
7. Review the form for accuracy and completeness.
8. Sign and date the form where indicated.
9. Submit the form along with all attachments to your insurance company's claims department as instructed.

Who needs Canada GSC Claim Form for Medical Devices?

1. Individuals who have a health insurance plan that covers medical devices and need reimbursement for such purchases.
2. Patients who have been prescribed medical devices by their healthcare providers.
3. Caregivers or guardians filing on behalf of those who are unable to file the claim themselves.

People Also Ask about

How do I contact Green Shield by phone?

Get in touch. We're here for you. Contact our Customer Service Centre at 1.888.711.1119 (Mon to Fri 8:30 am – 8:30 pm ET) or email customer.service@greenshield.ca.

How do I make a claim on Greenshield?

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.

What is the phone number for GSC everywhere?

Contact GSC at 1-888-711-1119 (7:30 am – 7:30 pm) and they will provide you your GSC ID number, which is all you need to register for your GSC everywhere account. As always, our team is here to help should you need additional assistance.

How long does it take GreenShield to process a claim?

Additional Information. Processing Times: Claims take approximately two weeks to process, which includes the time to mail the reimbursement cheque to your address. Direct Deposit: Students must register on the GSC Everywhere site/application and provide their banking information if they wish to use this option.

How do I email a green shield claim?

Discuss your concern with a GSC Customer Service Representative toll-free at 1.888. 711.1119 or by email at Customer.Service@greenshield.ca. Our agents are trained to handle customer issues efficiently and respectfully.

Does GreenShield have a group number?

Group & Certificate Numbers. Below you'll find your group number and certificate number, which you'll need to provide when you submit claims. Health, Dental, and Vision benefits are provided by GreenShield.

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What is Canada GSC Claim Form for Medical Devices?

The Canada GSC Claim Form for Medical Devices is a document used by healthcare providers and patients to claim reimbursement for medical devices covered by the Government of Canada's health services.

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

Healthcare providers or patients who have incurred expenses for medical devices that are eligible for coverage under Canadian health insurance plans are required to file this claim form.

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

To fill out the form, complete all relevant sections with accurate patient information, details of the medical device provided, and attach any necessary receipts or documentation supporting the claim.

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

The purpose of the form is to facilitate the reimbursement process for medical devices covered under government health insurance, ensuring that patients do not face financial burdens for necessary medical equipment.

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

The form must include patient details, healthcare provider information, specific medical device description, cost, and any supporting documentation such as invoices or reports.