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PharmaCare Policy Manual
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3. Claims Submission
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PharmaCare Policy Manual
1. Introduction to the BC PharmaCare Program
2. Provider Enrolment in PharmaCare
3. Claims Submission
3.1 Which Transactions to Submit on PharmaNet
3.2 Patients - Identification
3.3 Patients - Personal Health Numbers
3.4 Patients - Other Payers
3.5 Patients - Restricted Claimant Program
3.6 Patients - With Out-of-Province and Out-of-Country Prescriptions
3.7 Medical Practitioners - Prescriber IDs and Practitioner Reference IDs
3.9 Medical Practitioners - Authorized Prescribing
3.10 Medical Practitioners - Practicing Status and Practitioner Restrictions
3.11 Medical Practitioners - BC Prescription Review Program
3.12 Drug and Product Identification Numbers
3.13 Correct Quantities
3.14 Drug Use Evaluation (DUE)
3.15 Drug Monograph Information
3.16 Claim Reversals
3.17 Prescription Discontinuations
3.18 Claims for Drug Cost Exceeding $9999.99
3.19 Recording Adverse Drug Reaction and Allergy Information in PharmaNet
4. Offline (Manual) Claims
5. Pricing Policies and Product Reimbursement
6. Understanding PharmaCare Benefit Status
7. Coverage Plans
8. Pharmacy Fees, Subsidies, Provider Payment
9. Privacy
10. Audit
11. Contacts for Practitioners and Providers
3. Claims Submission
Last updated on August 13, 2020
3.1 Which Transactions to Submit on PharmaNet
3.2 Patients - Identification
3.3 Patients - Personal Health Numbers
3.4 Patients - Other Payers
3.5 Patients - Restricted Claimant Program
3.6 Patients - With Out-of-Province and Out-of-Country Prescriptions
3.7 Medical Practitioners - Prescriber IDs and Practitioner Reference IDs
3.9 Medical Practioners - Authorized Prescribing
3.10 Medical Practitioners - Practicing Status and Practitioner Restrictions
3.11 Medical Practitioners - BC Prescription Review Program
3.12 Drug and Product Identification Numbers
3.13 Correct Quantities
3.14 Drug Use Evaluation (DUE)
3.15 Drug Monograph Information
3.16 Claim Reversals
3.17 Prescription Discontinuations
3.18 Claims for Drug Cost Exceeding $9999.99
3.19 Recording Adverse Drug Reaction and Allergy Information in PharmaNet
More topics