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Extended Health Services Providers

Green Shield Canada
SSQ Insurance
Empire Life
MÉDIC Construction (Green Shield Canada)
Extended Health Forms
Audio
Authorization for Custom Braces
Authorization for Post-Cataract Surgery and Prosthetic Eyewear
Authorization for Prosthetic Appliances and Durable Medical Equipment
Childcare
Chronic Care/Alternate Level of Care
Claim Reversal Request
Custom Foot Orthotics
General (for Drugs and Extended Health Services)
Health Care Spending Account (HCSA)
Hospitalization
Long-Term Care Facility
Medical Devices
Multiple Plan Member Hospitalization
Multiple Plan Member Long Term Care Facility
Oxygen Equipment and Supplies
Provincial Replacement Plan Claim Form (Visitors to Canada / International Students)
Related Professional Services
Scholarship Program for Dependent Children
Services of an R.N., R.N.A., R.P.N., P.N.A. or L.P.N.,Personal Support Worker
Vision
Claims Payment Schedules

For your convenience, we have made our Claim Payment Schedules for each line of business available online. This will help you determine what claim details are included in each payment. To view these schedules, choose from the following:

Current Year
Prior Year
Extended Health Forms
Assignment of benefits
Authorization Form For In Home Support Services of a Registered Nurse, Registered Practical Nurse, Personal Support Worker
Claim Reversal Request
Health Insurance Benefit Claim
In Home Support Services of an RN, RNA, RPN, Personal Support Worker
Claims Payment Schedules

For your convenience, we have made our Claim Payment Schedules for each line of business available online. This will help you determine what claim details are included in each payment. To view these schedules, choose from the following:

Current Year
Prior Year
Extended Health Forms
Extended Health Benefit & Health Care Spending Account Claim Form
Extended Health Claim Form
Claims Payment Schedules

For your convenience, we have made our Claim Payment Schedules for each line of business available online. This will help you determine what claim details are included in each payment. To view these schedules, choose from the following:

Current Year
Extended Health Forms
Claim Reversal Request
Claims Payment Schedules

To view these schedules, please refer to the GSC tab.



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