The new payee number must be authorized as a payment option for the locum’s billing, by completing the Assignment of Payment Form For more information, please review the MCP Newsletter: Procedure for Having Locum Physicians at a Blended Capitation Practice ( FOR-HAVING-LOCUM-PHYSICIANS-AT-A-BLENDED-CAPITATION-PRACTICE.pdf). [...] Under this agreement, the assignor (Locum or Associate, as appropriate) agrees to assign to the assignee (Principal Provider or Institution, as appropriate) monies paid by MCP where the Principal Provider or Institute’s Provider or Institution number is specified as Payee on claims submitted to MCP for services rendered by the locum or associate, whether submitted by the assignor or assignee. [...] For good consideration, both the assignee and the assignor shall be jointly and severally liable to MCP for any recoveries of monies due to MCP and related services performed by the assignor. [...] Payment by MCP for claims generated by the locum or associate, who must be identified on the claim, will be made to the principal provider or institution from the date of this agreement. [...] Signed Date (Locum or Associate) Signed Date (Principal Provider or Institution) Privacy Notice This information is being collected for the purpose of administering the Medical Care Plan (MCP) under the authority of Section 61(c) of the Access to Information and Protection of Privacy Act, 2015.
Authors
- Pages
- 3
- Published in
- Canada
Table of Contents
- 9. I am engaging a locum to cover my patients care while I am on leave. How do Iwe manage billing and payment under the Blended Capitation Model 1
- Terms of Reference 2
- Name of 2
- Practice Physician 2
- MCP Provider Number 2
- Practice Address 2
- Name of 2
- Locum Physician 2
- MCP Provider Number 2
- Locum Start Date 2
- Locum End Date 2
- Signature Date 2
- Signature Date 2
- Comments 2