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Q202A
Q202A – Per Patient Rostering Fee
OHIP Critical Care Code — APPENDIX Q · Schedule of Benefits
Per Patient Rostering Fee. Eligible Models: GHC, FHN, FHO.
When to Use
- Use Q202A to formally enroll a patient into your FHO, FHN, or GHC roster to establish the foundation for capitation payments.
- Submit this code when a patient signs the Patient Enrolment and Consent to Release Personal Health Information form to initiate their attachment to your practice.
Common Pitfalls
- Billing Q202A for a patient who is already rostered to another physician in the same model or a conflicting model will result in a rejection.
- Attempting to bill Q202A without a valid, signed enrolment form on file creates a significant audit risk during Ministry of Health reviews.
Billing Tips
- Ensure the patient's Health Number and version code are verified via the Ministry's Eligibility Inquiry service before submitting Q202A to avoid immediate rejection.
Provider Fee$0.00
Effective: June 1, 2015
Category
AQ. Appendix Q
Subcategory
APPENDIX Q
Service Type
Other
Code Classes
Diagnostic and Therapeutic Procedures
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