for uninsured services - Saskatchewan Medical Association

SECTION A2:THIRD PARTY SERVICES AT RATES NEGOTIATED WITH THESASKATCHEWAN MEDICAL ASSOCIATIONH. VETERANS AFFAIRS CANADADVA has declared that it will pay at Medical Services Branch Payment Schedule rates.Medical reports provided by a patient in support of a request for a benefit can be reimbursed at the followingrates if supported by a receipt/invoice from the physician.Source and Form of InformationPrescription only with no or only minor explanation, e.g. medicationrequired for lower back pain ........................................................................................................... NilPhone call with physician’s office (not physician) to obtain information ......................................... NilPhone conversation with physician ............................................................................. $10.00 per callOriginal report by family practitioner (FP) (one page); completion ofa form; subsequent report by a specialist ................................................................................$25.00Original report by a specialist (one page) ................................................................................$50.00Second and subsequent pages of a report, FP and specialist .................................................$20.00Copies of a physician’s notes or reports previously prepared for a third party ........ $15.00 first page($2.00 each additional page)Renewal of prescription by telephone (when fee not covered by province) ...............................$5.00Physician call to request authorization for special authorization benefitsDVA beneficiaries are only those veterans who have been declared eligible for a pension related to a specifieddisability.If there is any reason to believe that a veteran has been declared eligible, submit to DVA on the SaskatchewanBlue Cross form provided in your supplier kit.If the form is inadvertently sent to DVA and they are not responsible for the claim, they will forward it on to MSBrather than return it to you. If MSB receives a claim that is DVA responsibility, they will return it to you.If you want to register as a supplier or if you require billing forms, please contact Saskatchewan Blue Cross at1-800-301-6102, or in Saskatoon at 306-244-5839.Submit to:Veterans Affairs CanadaPO Box 6050Winnipeg, MB R3C 4G5Telephone: 1-866-522-2122SMA Fee Guide A 17October 1, 2011